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17/08/2026

🚨 100% blocked RCA. No easy way through.
Calcification. Difficult crossing. Limited guide support.
But the strategy changed the game. 🔥
🧵 Pilot 150 crossing
🎈 Balloon preparation
🛠️ GuideLiner support
💊 NTG + tirofiban
🫀 Overlapping DES implantation
✅ Final result: excellent RCA flow
.

14/08/2026

It’s just squiggles… until you know what to see 👁️🫀
🔹 Bump = P wave → Atria firing
🔹 Spike = QRS → Ventricles firing
🔹 Hump = T wave → Ventricles recovering
Just check Lead I + aVF:
⬆️ I + ⬆️ aVF = Normal Axis ✅
⬆️ I + ⬇️ aVF = Left Axis Deviation
⬇️ I + ⬆️ aVF = Right Axis Deviation
⬇️ I + ⬇️ aVF = Extreme/Northwest Axis 🚨
Bump. Spike. Hump. Done. 🫀
Save this for your next ECG viva! 📚🔥

08/08/2026

🫀 Triple-Vessel Challenge on Coronary Angiogram! 🫀
Today’s angiogram revealed significant coronary artery disease:
🔴 LCX: Total cut-off
🔴 LAD: Proximal 90% discrete, tight stenosis
🔴 RCA: Long-segment 90% stenosis from proximal to mid segment
A powerful reminder that coronary artery disease can affect multiple vessels at the same time.
🔍 Angiogram tells the story — experience interprets it.

04/08/2026

⚠️ Would you recognize this hidden danger?
An eccentric plaque in the LAD may not completely encircle the artery, but it can still cause critical narrowing and lead to a heart attack if left untreated.
Knowledge saves lives. Share to spread awareness. ❤️
Angiography PCI CathLab.

29/07/2026

🫀 Not every blocked heart can be treated with a stent.
Today’s coronary angiogram revealed:
🔴 LMCA: 80% critical disease
🔴 LAD: Proximal total occlusion (CTO) with collateral filling from the right coronary system
🔴 LCX: 80% severe stenosis
🔴 Ramus Intermedius: 90% in-stent restenosis
🔴 Diagonal & OM branches: Diffuse disease
This is advanced multivessel coronary artery disease, where every treatment decision requires careful planning by the heart team.HeartVisual

24/07/2026

🫀 Atherosclerosis
What is it?
Atherosclerosis is the buildup of cholesterol (fat) inside the arteries. Over time, this forms a plaque that narrows the artery and reduces blood flow to the heart.
⭐ Easy to Remember
•⁠ ⁠Aspirin = Prevents blood clots
•⁠ ⁠Rosuvastatin = Lowers bad cholesterol
.

22/07/2026

🚨 Every Minute Matters in a Heart Attack 🚨
A patient arrived with shortness of breath and severe chest pain. ECG suggested an Anterior Wall Myocardial Infarction (Anterior STEMI).
🫀 Coronary angiogram findings:
🔴 Proximal LAD: 100% total occlusion (TIMI 0 flow)
⚡ Immediate action was taken:
✅ Guidewire successfully crossed the lesion
✅ Sequential balloon predilatation restored blood flow
✅ Antithrombotic medication was administered
✅ Drug-eluting stent deployed with excellent expansion

20/07/2026

🚨 From 100% Blocked to Full Blood Flow. A Race Against Time. ❤️
The ECG confirmed an Anterior Wall Myocardial Infarction (STEMI).
🔴 Angiogram findings:
• Ostial LAD: 100% total occlusion
• No antegrade flow
• No retrograde collateral filling
⚡ Every minute of delay meant more heart muscle at risk.
✅ Final result:
• TIMI III flow restored
• No dissection
• No perforation
• Successful primary PCI.HeartVisual .

17/07/2026

🫀 When the Left Main Coronary Artery is involved, every minute matters.
A patient presented with shortness of breath (SOB). Coronary angiography revealed:
🔴 LMCA: 80% tight stenosis
🔴 LAD (ostial): 80% tight stenosis
🔴 LCX (ostial): 80% tight stenosis
This isn’t “just breathlessness”—it can be a warning sign of critical left main coronary artery disease, where a large portion of the heart muscle is at risk.

15/07/2026

⚠️ 38 Years Old. Too Young for a Critical Heart Blockage?
A 38-year-old male presented with symptoms, and coronary angiography revealed a 90% discrete stenosis in the proximal LAD—the artery often called the “widow-maker.”
Many people believe heart disease only affects older adults. This case proves otherwise.
🚨 Heart disease doesn’t always wait for old age.
Risk factors like smoking, diabetes, high blood pressure, high cholesterol, stress, obesity, family history, and an unhealthy lifestyle

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