Dr G Rajesh (Gopalan Nair Rajesh).'s banner

Dr G Rajesh (Gopalan Nair Rajesh).

@DrRajeshG1 • 42,831 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?

464,586 görüntüleme

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.

228,160 görüntüleme

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?

231,848 görüntüleme

Observations? Diagnosis?

Observations? Diagnosis?

17,284 görüntüleme

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?

158,775 görüntüleme

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

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

129,556 görüntüleme

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.

118,162 görüntüleme

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 görüntüleme

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

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

151,951 görüntüleme

Echo for fellows. Findings?

Echo for fellows. Findings?

21,414 görüntüleme

For fellows. Finding?

For fellows. Finding?

132,314 görüntüleme

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)

75,308 görüntüleme

Spotter for fellows

Spotter for fellows

14,644 görüntüleme

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?

43,209 görüntüleme

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 görüntüleme

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?

19,566 görüntüleme

Patient with STEMI AW, LAD was totally occluded, primary PTCA to proximal LAD done.

Patient with STEMI AW, LAD was totally occluded, primary PTCA to proximal LAD done.

18,698 görüntüleme

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.

74,608 görüntüleme

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 görüntüleme

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?

31,596 görüntüleme

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74 yr male with high risk NSTEMI, ongoing pain is on cath table. RCA ok. Hemodynamically stable. All 3 CVTS tables occupied with cases. Your inputs please.

74 yr male with high risk NSTEMI, ongoing pain is on cath table. RCA ok. Hemodynamically stable. All 3 CVTS tables occupied with cases. Your inputs please.

Dr G Rajesh (Gopalan Nair Rajesh).

55,770 görüntüleme • 1 ay önce

Straight from the cath lab.

Straight from the cath lab.

Dr G Rajesh (Gopalan Nair Rajesh).

38,062 görüntüleme • 4 ay önce

Never forget the art of clinical examination. Inspection of JVP provides many vital informations.

Never forget the art of clinical examination. Inspection of JVP provides many vital informations.

Dr G Rajesh (Gopalan Nair Rajesh).

27,189 görüntüleme • 3 ay önce

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).

27,355 görüntüleme • 10 ay önce

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).

82,127 görüntüleme • 3 yıl önce

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).

55,765 görüntüleme • 2 yıl önce

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).

48,314 görüntüleme • 2 yıl önce

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 görüntüleme • 7 ay önce

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).

58,727 görüntüleme • 3 yıl önce

26 yr old boy with progressive effort dyspnoea

26 yr old boy with progressive effort dyspnoea

Dr G Rajesh (Gopalan Nair Rajesh).

28,100 görüntüleme • 1 yıl önce

Angio for Cardiology Senior residents /fellows.

Angio for Cardiology Senior residents /fellows.

Dr G Rajesh (Gopalan Nair Rajesh).

16,689 görüntüleme • 7 ay önce

Patient had CABG from another hospital and patient has significant effort angina now. LIMA injection shown after left injection. RCA is CTO. Venous grafts to both PDA and OM occluded already. What is the LIMA injection showing?

Patient had CABG from another hospital and patient has significant effort angina now. LIMA injection shown after left injection. RCA is CTO. Venous grafts to both PDA and OM occluded already. What is the LIMA injection showing?

Dr G Rajesh (Gopalan Nair Rajesh).

20,258 görüntüleme • 9 ay önce

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 görüntüleme • 4 ay önce

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).

30,236 görüntüleme • 1 yıl önce

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).

28,465 görüntüleme • 1 yıl önce

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).

14,753 görüntüleme • 1 yıl önce

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).

24,669 görüntüleme • 2 yıl önce

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 görüntüleme • 1 yıl önce

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).

17,741 görüntüleme • 1 yıl önce