#USCardiology Review, the official journal of @CardioNerds now accepts #ClinicalImages. Do you have something to show? Submit here: https://t.co/4Ab3NVb1Dy @radcliffeCARDIO

🎧 New @CardioNerds Ep 437 is live! 💓Atrial Flutter: Dx & Mgmt w/ Dr. Joshua Cooper @narrowQRS - feat: @NaimaMaqsood9 @CBlumenthal2 @AkivaRosenzveig 💓EKG pearls 💓2:1 flutter traps 💓AAD pitfalls 💓why ablation = 1st-line for AFL 🔗 https://t.co/KTqUP9kFXc

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Excited to attend @Penn_CRS #REVIVE2026 meeting as a @CardioNerds Conference Scholar with @BhavyaVarma12 Register here for this conference on mastering the art & science of resuscitation: https://t.co/DQPmGV7IBt @REVIVE_Resus @YoavKarpenshif

⭐️⭐️⭐️⭐️⭐️Dr. Sarah Godfrey, former @UTSWCardfellow and now @MayoClinic Palliative Cardiologist, with insights from her palliative care fellowship to build resilience in #AHFTC. @HFSA @ISHLT @CircHF @CardioNerds @noshreza @MKIttlesonMD URL:  https://t.co/7sIdWfFXDD

Today I was granted an opportunity far greater than I deserve 🩺🫀I’ll be pursuing Cardiology fellowship at the University of Pittsburgh (UPMC) Grateful to God, my incredible husband & family, my mentors @PittIMChiefs @PittCardiology @WVUMedSchool and all of yinz on the journey💕

Have a case with nuance, learning points, or a diagnostic twist → @CardioNerds is accepting submissions for the CN Case Reports series—complete with expert commentary and high-yield learning pearls. 🔗

The second episode of our @CardioNerds Advanced Heart Failure series is now out, for your listening pleasure: pre-transplant evaluation & management with the inimitable Kelly Schlendorf and episode lead @goodmra1! Enjoy! https://t.co/264quDsklq

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⭐️Hemodynamic testing demonstrates direct, immediate recoupling effects on ventricular arterial function ⭐️New study underway to close the knowledge gaps about its impact on CO and outcomes ⭐️will analyze how Barostim alters exercise hemodynamics esp exercise wedge pressure

⭐️Although endpoints are improved (6 min walk, QOL, NT-proBNP, baroreflex sensitivity) existing data, have not yet shown immortality HF hospitalization benefit ⭐️Centers are reporting ⬆️GDMT tolerance and ⬇️admissions

The Barostim Overview + Evolving Hemodynamic Evidence presented by @NirUrielMD @MarkBelkinMD and Dr. Gabriel Sayer ⭐️Barorelfex activation therapy targets the automatic dysregulation at the core of HFrEF through ⬇️sympathetic tone + restoring baroreflex sensitivity #ChiHemos2025

Current testing with vasodilators or response to LV unloading (with Impella), with subsequent improvement in PAPi, can predict good RV outcomes. 🗝️ RV failure after LVAD remains difficult to predict, and it requires ongoing investigation. #ChiHemos2025

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@JTThibs provides wonderful context for how to predict RV failure after LVAD so that we may avoid it. 📌 Various scores: (RVSWI, CVP/PCWP/PAPi) 📌 Integrating these scores is helps only modestly (max c-statistic around 0.75 with STOP-RVF) https://t.co/0Nx4FAKmg7 #ChiHemos2025

Interestingly, this does not hold true for LV fibrosis on histology for reasons still under investigation.

Emerging strategies of RV protection are promising and those who gain RV support via early RVAD implant may have improved mortality.

HF syndromes include 4 phenotypes: right-sided dominant hemodynamic aberrancy (HAD) patterns, left-sided dominant HDAs, extra-cardiac HADs, and pump abnormality dominant HDAs. https://t.co/CtEOIwGGfx

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Dr. Mandeep Mehra discusses the hemodynamics of heart failure syndromes: 🫀What is responsible for poor LVAD outcomes? Likely a syndrome of several different HF-driven mechanisms and not just RVF. 🫀Higher rates of HF hospitalizations after implant lead to increased mortality

Can we select RV predictors based on data from clinical interventions? 🫀Medically optimized PAPi can predict RVF improvement after LVAD: PAPi<3.33 predicts RVF 🫀 Delta in PAPi after Impella implant may predict RVF 🫀PAPi and peak SVI < 22.1 predict RVF after vasodilator use

@JTThibs describes hemodynamic parameters prior to implant: 🫀Pre-implantation hemodynamic measures may be useful in predicting RV failure after LVAD implant 🫀Traditional RV function measures include RVSWI, CVP/PCWP ratio, PAPi, and the RVFRS score

Session 4 of @ChiHForum focuses on the good, the bad, and the ugly of LVAD hemodynamics, with sessions focused on pre-LVAD assessment, hemodynamics with LVAD complications, and the prediction of cardiac recovery. #ChiHemos2025 @CardioNerds

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Additional nice takeaways for management and risk stratification! From @Jonathan_PaulMD #ChiHemos2025

@Jonathan_PaulMD provides a fantastic talk on HD changes seen in acute PE. 🗝️ Intermediate risk patients are sicker than you may think. 🗝️ Metrics for risk: PESI, RV/LV ratio, TTE. All imperfect. 🗝️ Hemodynamics can help stratify risk! #ChiHemos2025