#CircECG
: A 35 yo woman is admitted for septic shock with group A strep bacteremia and a hand abscess from IVDU. TEE showed a TV vegetation with mild-mod regurgitation. Lung CT showed septic emboli. What is the sign seen on ECG?
#AHAJournals
Cardiorenal syndrome 💔: Recent scientific work identifies fibrosis as a common pathophysiologic feature for this vicious and interrelated cycle. Perhaps this can lead to novel therapeutic targets. Learn more:
EMBRACE- HF: In patients with HF and CardioMEMS, empagliflozin produced rapid reductions in PA pressures that were amplified over time and appeared to be independent of loop diuretic management
#AHAJournals
@MkosiborodMD
@MichaelNassifMD
#Frontiers
: Antithrombotic Therapy in Patients with Atrial Fibrillation Treated with Oral Anticoagulation Undergoing Percutaneous Coronary Intervention: A North American Perspective - 2021 Update
#AHAJournals
Left septal mapping finds that 64% of pts with LBBB on ECG have complete conduction block within prox left system, identifying those most amenable to His corrective pacing. Read more:
@DrRoderickTung
@gauravaupadhyay
#CircECG
: 73 yo M with recurrent syncope after drinking a Chinese herb liquor. BP 60/40, HR 150. Echo & trop normal. Sinus rhythm restored after K repletion & DCCV. What is the diagnosis?
#AHAJournals
#OriginalResearch
: PCI does not reduce arrhythmic risk (aborted sudden death or sustained ventricular arrhythmias) in patients with stable ischemic LV dysfunction. A subanalysis of
@REVIVED_BCIS2
@divaka_perera
2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
#InDepth
Reappraisal of Ischemic Heart Disease - The fundamental role of coronary microvascular dysfunction in the pathogenesis of angina pectoris
@jckaski
#OriginalResearch
In the ISCHEMIA trial, CAD severity (multivessel, >70% stenosis etc.) but not ischemia severity (on stress testing) was associated with ⬆️ risk of death. Invasive management did not ⬇️ risk in any group.
@lesleejshaw
#AHAJournals
#JustPublished
SimPub
#CIRCAHA23
: Left bundle branch area pacing associated w lower incidence of sustained VT/VF & new-onset
#AF
vs biventricular pacing in patients undergoing CRT: International Collaborative LBBAP Study (I-CLAS)
#OriginalResearch
: In a meta-analysis of 8 studies, 6,000 to 9,000 steps/day was associated with 40% to 50% lower risk of CVD among older adults
#AHAJournals
Cardio-oncology - a win-win situation: how solving the mystery of an ibrutinib off-target effect reveals new insights into atrial fibrillation mechanisms
#AHAJournals
@vgzmd
#OriginalResearch
: Clopidogrel monotherapy was superior to aspirin monotherapy (following 6-18 mo DAPT) in long term follow-up of patients who received coronary stenting
#AHAJournals
#InDepth
: Ventricular assist devices have emerged as a durable and safe therapy for end-stage
#HF
. Here is what you need to know about VADs in the HF paradigm, adverse events, and future directions in engineering and clinical medicine.
Immune checkpoint inhibitors are associated with a 3-fold higher risk for atherosclerotic CV events including MI, coronary revascularization and ischemic stroke. Read more here:
#AHAJournals
@TomasNeilan
@zsofidrobni
@CIRC_MGH
Oral anticoagulation use after Left Atrial Appendage Occlusion (LAAOS III): LAA occlusion provides protection against ischemic stroke and systemic embolism independent of the use of OAC therapy.
@RichardWhitloc2
#LAAOSIII
#OriginalResearch
simpub
#AHA2022
: In this
#RCT
immediate implementation of VA-ECMO in patients with cardiogenic shock did not improve clinical outcomes compared with an early conservative strategy which allowed downstream use of...
#CIRCAHA22
#AHAJournals
#OriginalResearch
: In HFpEF, acutely lowering PCWP during exercise with nitro did not improve VO2 suggesting elevated PCWP during exercise not the primary cause of limits in exercise capacity
#AHAJournals
The randomized controlled trial Frail Atrial Fibrillation (
#FRAIL
-AF) showed that switching from vitamin K antagonists
#VKA
to non-vitamin K oral anticoagulant
#NOAC
in frail older patients with AF was associated with more bleeding complications
An international, multicenter cohort study finds LV unloading was associated with lower mortality in cardiogenic shock patients treated with VA-ECMO, despite higher complication rates
#AHAJournals
@SunnyVMD
@thiele_holger
A 77 yo man with h/o T2DM, HTN and pAF on Metoprolol and Flecainide p/w palpitations. He is given an additional 200 mg of Flecainide for 2:1 A flutter. What is the rhythm and how should it be treated?
@JeffWagnerMDMCR
#AHAJournals
Multi-center study first to show that acute
#takotsubo
cardiomyopathy is characterized by myocardial & systemic inflammation, followed by a low-grade chronic inflammatory state. Read more:
In 10-yr follow-up of STICH trial, inducible myocardial ischemia on stress testing not associated with worse long term survival in patients with ischemic cardiomyopathy. Read more:
@DavidLBrownMD
@WUSTLmed
@WUSTL
#AHAJournals
Just Published Online:
#OnMyMind
Angiotensin-(1-7) may be useful to protect the lungs of high risk patients infected with SARS-CoV-2 responsible for the Covid-19 pandemic.
#COVID19
#AHACOVID19
@AHAScience