Thrilled and grateful to share our recent publication in @CirculationEP, comparing left atrial appendage closure (LAAC) with oral anticoagulation in atrial fibrillation. 🫀
Across 6 RCTs and over 7k patients:
🔹 LAAC was associated with a higher risk of ischemic stroke but a lower risk of nonprocedural major bleeding.
🔹 Overall stroke, major bleeding, and mortality were not significantly different.
ahajournals.org/doi/abs/10.1…@VijAviral, Venkatesh Ravi, Gaurav Dhar, Neeraj Jolly, @MurthiMukunthan, @chrahul27, Nihal Nagaraj, Vennela Talla.
#Cardiology#AtrialFibrillation#LAAC#CardiovascularResearch
🫀 Publication Alert
We describe the use of antegrade-retrograde technique for valve-in-valve TAVR in a patient with a challenging, uncrossable anatomy and a rare complication of the procedure.
Full paper: sciencedirect.com/science/ar…@ShiavaxJRaoMD@edokaluski
My primer for the peripheral neuropathies
Neurologists love to use the small and large fiber dichotomy --> this needs to be clarified.
See my notes --> defines types of fibers
Large fiber disease -
Motor --> A alpha fibres --> motor weakness +/- atrophy (if 1° axonal or demyelinating with 2° axonal changes)
Sensory - disease of type Ib and II fibers
Positive phenomena -->
1. Tingling
2. Cotton wool
Negative phenomena -->
1. Numbness
2. Sensory ataxia
3. Pseudoathetosis
4. Washbasin phenomenon
5. Rombergism
6. 'Shower is a Romberg machine'
Reflexes - A alpha (efferent) and 1a (afferent) limbs of stretch reflex --> loss of tonic reflexes leads to hypotonia and loss of phasic reflexes leads to areflexia
Autonomic - none
Small fiber disease -
Motor - none
Sensory - disease of A delta and C fibers --> positive phenomena is burning and negative phenomena includes numbness
Reflexes - preserved
Autonomic - disease of type B and type C fibers - both positive and negative sensory phenomena
Dictum from Dr Archith Boloor -
Large fiber neuropathy is the neuropathy of signs.
Small fiber neuropathy is the neuropathy of symptoms.
#MedTwitter#NeuroTwitter#Peripheralneuropathies
🔹"Shark Fin": A Deadly ECG Sign that you Must Know!
🔹Shark Fin is an electrocardiographic sign of acute coronary occlusion.
It is a unique ECG phenomenon consisting of complexes formed by the blurring together of QRS and T-wave as a result of extreme ST-Deviation.
From an aspiring author to the Editorial Board of India's top surgical journal – what a journey!
Honored to be nominated as Associate Editor for the Indian Journal of Surgery of ASI. Excited to contribute to surgical literature!
#SurgicalExcellence#MedicalResearch#MedX
One whose mind remains undisturbed amidst misery, who does not crave for pleasure, and who is free from attachment, fear, and anger, is called a sage of steady wisdom.
BG 2.56 💛