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Kuchal Agadi @kuchalagadi.bsky.social · Aug 25

CAN : Cardiovascular Autonomic Neuropathy

❤️independent Risk ☠️ in pts with DM
👎 Baroreflex- induced HR with orthostatic Hypotension
👉 Orthostatic Hypotension. Resting sinus Tachy. Exercise intolerance
👍 Rx with H2O+ 🧂compression🧦
🏥 midodrine| Droxidopa| Fludrocortisone

#Cardiodrop

Kuchal Agadi @kuchalagadi.bsky.social · Aug 25

Primary & Secondary Hypothyroidism are both treated with Levothyroxine Replacement. What’s the Difference???

💥 Primary: TSH levels are used to monitor the patient

💥Secondary: goal is to keep Free T4 mid-upper half of normal range

#endodrop

Kuchal Agadi @kuchalagadi.bsky.social · Aug 15

🫀Anthracyclines/ Doxorubicin: irreversible Cardiomyopathy with ⬆️ cumulative dose
🫀Traztusumab: reversible,DSI cardiomyopathy
🫀Fluropyrimidines ➡️coronary vasospasm
🫀TyKI : CAD|PHT
🫀BKI: Afib
🫀Anti VEGF:HTN/
🫀Antiandrogen Rx ⬆️ CVrisk

#cardiodrop #cardiooncology #meded

Kuchal Agadi @kuchalagadi.bsky.social · Aug 8

Heparin ✅ DOAC 🚫:

🫄🤰& postpartum 💁‍♀️: acute VTE: LMWH

- peri operative ⏰ cancer/spine/ THA/TKA: LMWH 1st dose within 24 HR * 2–3 D

- In Cancer-associated VTE: Specific conditions. Non Infective Thrombotic Endocarditis

#cardiodrop

Kuchal Agadi @kuchalagadi.bsky.social · Aug 7

RHD PPx:

✅ penicillin G benzathine 1.2 MU * 4wk
👍penicillin V 250 mg po TD| sulfadiazine 1 g po OD
☝️macrolide| azalide

⏳RF & residual VHD * at least 10 years after the last episode or until age 40 (whichever is longer)
⌛️ Prophylaxis is required even after valve replacement
#cardiodrop

Kuchal Agadi @kuchalagadi.bsky.social · Aug 6

🅱️LAINT Syndrome

🧠 Optic Ataxia: despite Cerebellar & Motor WNL, 😖 in reaching for an object
🧠 Oculomotor Apraxia:😖 ↔️ 👀 movements
🧠 Simultanagnosia : ❌ 👁️> than 1️⃣ object at a time
MRI: Parieto-Occipital Atrophy.
Dx: Posterior Cortical Atrophy
Rx: Acetylcholine inhibitors.OT

#Neurodrop

Redirecting

doi.org

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Kuchal Agadi @kuchalagadi.bsky.social · Aug 5

(DOACs)❌ Warfarin ✅ in:

🫀Mechanical Heart Valves
🫀Moderate to Severe Rheumatic Mitral Stenosis with Atrial Fibrillation
🫀Triple-positive Antiphospholipid Syndrome (APS)

#cardiodrop #Medtwitter

@JACC

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Kuchal Agadi @kuchalagadi.bsky.social · Aug 4

What’s #Cardiodrop ? U might ask.

There is a saying in Tamil which translates to “what you know is in the size of a drop, what ought to be learnt in size of the ocean” -

#Cardiodrop a tiny bit of information I plan on sharing here daily. Wish me luck & feel free 2 reshare.

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Kuchal Agadi @kuchalagadi.bsky.social · Aug 4

x.com/agadikuchal/...

Kuchal Agadi on X: "🧠 Stimulation of Ant Hypothalamus ➡️ ⬆️ PNS ➡️⬇️🫀Rate 🧠Stimulation of Lateral Hypothalamus ➡️⬆️SNS➡️⬆️ 🫀Rate #cardiodrop #Medtwitter" / X

🧠 Stimulation of Ant Hypothalamus ➡️ ⬆️ PNS ➡️⬇️🫀Rate 🧠Stimulation of Lateral Hypothalamus ➡️⬆️SNS➡️⬆️ 🫀Rate #cardiodrop #Medtwitter

x.com

Reposted by Kuchal Agadi

@IM_Crit_ @imcrit.bsky.social · May 11

ICU Stories:

A young patient w history of polysubstance abuse is brought to the ED after resuscitated out-of-hospital cardiac arrest (initially asystolic - CPR >30 min - multiple rounds of epi - intubated in the field). Admitted to the ICU intubated/on pressors/dialysis started

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Kuchal Agadi @kuchalagadi.bsky.social · Jul 2

Had fun facilitating this one!!
Here’s the recording incase you missed it. Let me know what your thoughts are in comments ❤️🧿

m.youtube.com/watch?v=-DP2...

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Reposted by Kuchal Agadi

The Clinical Problem Solvers @cpsolvers.bsky.social · Jun 30

🚨New RLR Podcast Episode 🚨

Tune in as Rabih and Prof Reza discuss a case of Gum Bleeding🩸👨‍⚕️

➡️ clinicalproblemsolving.com/2025/06/30/e...

#Medsky #MedEd #ClinicalReasoning #CPSolvers

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Reposted by Kuchal Agadi

Guardian US @us.theguardian.com · Jun 27

The US supreme court has ruled that schools must give children the chance to opt out on faith grounds from listening to storybooks that feature gay and transgender characters, in a landmark decision that will be seen as a win for religious rights in education.

560 310 1.1K

Reposted by Kuchal Agadi

The Clinical Problem Solvers @cpsolvers.bsky.social · Jun 1

Check out this week’s #CPSolvers VMR schedule. We have an exciting week ahead!

Don’t miss out on our Cardiology VMR on Monday June 2 at 4PM PST/7PM EST featuring a very special guest: ✨Dr. Jason Ryan!✨🫀🩺

We hope to see you there!
➡️ clinicalproblemsolving.com/learn-live/

#MedSky#ClinicalReasoning

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Reposted by Kuchal Agadi

American College of Cardiology @accintouch.bsky.social · May 21

A 13 y/o girl presents to the ED after an episode of syncope. Symptoms: After sitting up, she made a noise, eyes rolled back, extremities stiffened, unresponsive for ~30 sec, then recovered.

What is the most appropriate next step? Full case details: bit.ly/43BOC4p

#CardioSky #MedSky

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Reposted by Kuchal Agadi

American College of Cardiology @accintouch.bsky.social · May 22

Want to make a global impact in the field of #cardiology? Start with leadership.🧭

The Wael Al Mahmeed GLI offers #cardiovascular professionals a chance to sharpen leadership skills ➕ gain insights into solving challenges. Apply by June 9 ➡️ bit.ly/42SI5lH #ACCLeadership

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Reposted by Kuchal Agadi

The Clinical Problem Solvers @cpsolvers.bsky.social · Apr 12

🚨New Podcast Episode🚨

Don’t miss out on this high-yield nephrology episode, where Drs @ssfarouk.bsky.social & @drfarrell.bsky.social unpack the nuances of AKI—and why we should trend urine like we trend troponin. 🎧🧪

Listen now➡️ clinicalproblemsolving.com/2025/04/11/e...

#MedSky #Nephrology #MedEd

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Reposted by Kuchal Agadi

Andrew Sanchez @asanchez.bsky.social · Apr 1

New publication for my OMI colleagues @sargsyanz.bsky.social @willyhfrick.bsky.social 💀

bhm.scholasticahq.com/article/1337...

Posterior Occlusive Myocardial Infarction on Chronic Right Bundle Branch Block | Published in Journal of Brown Hospital Medicine

By Andrew Sanchez, Omar El-Charif. An elderly woman with chronic RBBB presented in shock and was diagnosed with posterior myocardial infarction

bhm.scholasticahq.com

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Kuchal Agadi @kuchalagadi.bsky.social · Mar 29

Look forward to meeting Artie 🫀

American College of Cardiology @accintouch.bsky.social · Mar 29

The countdown to #ACC25 is on! ⏳

Take a behind-the-scenes look with ACC.25 Chair Katie Berlacher, Vice Chair Julie Damp, and CV Team Lead Kim Guibone as they reveal what’s in store for an unforgettable experience! 🎉

Watch the full video here: bit.ly/3E12Lyb

Kuchal Agadi @kuchalagadi.bsky.social · Mar 27

Do you search for the Primary or Do you do something else??? #medicalethics #patientscomefirst #cancerscreening

The Clinical Problem Solvers @cpsolvers.bsky.social · Mar 15

Come sharpen your diagnostic skills with us at our Clinical Reasoning VMR 🧠🔍Join us this Monday, March 17, at 10 AM PST/ 1 PM EST.🧑‍⚕️

➡️ clinicalproblemsolving.com/learn-live/

#Medsky #ClinicalReasoning

Kuchal Agadi @kuchalagadi.bsky.social · Mar 27

m.youtube.com/watch?v=bq6m... just in case you missed it! - Inside & Out of #AcutePericarditis

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Reposted by Kuchal Agadi

ATS Red Journal @ajrcmb.bsky.social · Mar 3

From Data Mining to Discovery: SNHG11 as a Therapeutic Target in Pulmonary Hypertension
@atscommunity.bsky.social #medsky

🔓 Open Access

🔗 tinyurl.com/5n7xmx85

From Data Mining to Discovery: SNHG11 as a Therapeutic Target in Pulmonary Hypertension | American Journal of Respiratory Cell and Molecular Biology

tinyurl.com

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Reposted by Kuchal Agadi

American College of Cardiology @accintouch.bsky.social · Mar 11

🆕 #ACCEd: Baroreflex Activation Therapy (BAT): Optimizing Treatment of HF

This online course covers the stages of #HeartFailure where BAT is effective, including its benefits & limitations for early intervention.

👇 Check out the infographic & learn more: bit.ly/4ixUAbq

#CardioSky #MedSky

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Kuchal Agadi @kuchalagadi.bsky.social · Mar 9

Grateful to be part of this community ☯️

Melanie S. Sulistio, MD @withheartdrmelanie.bsky.social · Feb 8

It’s starting! #ACCIMprogram #WomenInCardiology prgrm! Uplifting, amplifying & celebrating women to bring more #imresidents into #cardiology. We NEED you & your light! 🫀❤️
#ACCDiversity #TheFaceofCardiology
@modeldoc.bsky.social @sharonnehayes.bsky.social @accintouch.bsky.social

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Reposted by Kuchal Agadi

Geoffrey Barnes, MD, MSc @gbarnesmd.bsky.social · Feb 12

Cardiovascular specialists are well positioned to care for patient with acute PE. While we need better tools for risk stratification, we still have so much to offer… from interpretation of echocardiogram to management of anticoagulation, to performing Cather-based interventions

American College of Cardiology @accintouch.bsky.social · Feb 12

In this month's issue of #CardiologyMag, Drs. Geoffrey Barnes and Gregory Piazza outline the latest strategy of how best to treat the wide variety of patients who present with possible pulmonary embolism.

Read more: bit.ly/41aEQFf

#CardioSky #MedSky

Cover Story | Pulmonary Embolism: A Clinical Approach - American College of Cardiology

bit.ly

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