Jamal Rana, MD
@JamalRanaMD
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Cardiologist & Researcher @PermanenteDocs | Chair Med Specialties & Interventional Services| Past President @CaliforniaACC | @CedarsSinai Alum| Opinions own
California, USA
Joined April 2021
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A friend shared photo from time I arrived in Boston as international med graduate. 2 hundred dollars, a suitcase, a lot of unknown but a lot more hope.
#Grateful
to all who helped me during the journey! Was not easy, feel so
#blessed
. Photo seems like from a zillion years ago 😇
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13
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Our study showed that long-term consumption of a nutritionally rich plant-centered diet associated with a REMARKABLE lower risk of CVD. Out in
@JAHA_AHA
today. Choi et al.
32-year follow-up, from young adulthood to middle age. 🧵
20
75
264
A dream moment ✨ next to my mentor
@jgharoldmd
, who embodies vision & kindness. Reflected that in our journey we owe so much to those who reach out & "hold our hand". Now it's my privilege & joy to lift trainees & early careers around me
#payitforward
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Our paper Choi et al. shows nutritionally rich Plant-Centered Diet decreased risk of future Heart Disease (27% ⬇️risk) and Stroke (30% ⬇️risk) where as Simple Nutrient-Based Rules diets (low-fat, low carbohydrate, cholesterol lowering ) did not.
Paper:
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🔥Thrilled to be quoted in
@WSJ
on biggest story of
#ACC2023
along with
@EdwardFryMD
. While good to have Bempedoic acid as option for statin intolerant patients, we still have lots work to break clinical inertia & close gap for patients who should be on statin & 💔prevention.
11
27
134
Excellent review in
@NatRevCardiol
on Cardiac involvement in the long-term implications of
#Covid19
@DLBHATTMD
Paper:
@EricTopol
@HeartOTXHeartMD
@drercardio
@mirvatalasnag
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"Current Emergency Department Disposition of Patients with Acute Heart Failure: An Opportunity for Improvement" - our paper
@JCardFail
Amazing effort by Dr. Dana Sax for leading this patient-centric crucial topic !
@JavedButler1
🧵(1/5)
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Felt blessed to get some ‘diastole’ time around
#LakeComo
area. Amazing culture, people & food.
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5
113
Our much awaited paper from
#MESA
&
#MASALA
❤️. Diabetes ⬆️ likelihood CAC in
#SouthAsians
(SA) & Whites. Clinically significant > 100 CAC in SA & Chinese. ⬆️ fasting glucose ⬆️CAC in SA.
Led by Dr. Premyodhin.
@DrNathanWong
@BudoffMd
@alka_kanaya
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Worked most of the holidays, so it was nice to get away to 🇲🇽
#MexicoCity
for few days. Wonderful people, awesome food & beautiful architecture.
#PalaciodeBellasArtes
#MuseoAntropologia
#PalacioNacional
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6
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My holiday 🎁 arrived. I still ❤️ holding books.
#Braunwald
, cool cover art by
@CMichaelGibson
, amazing editors
@DLBHATTMD
& so many brilliant contributors !
@hmkyale
@Drroxmehran
@JJheart_doc
@DrMarthaGulati
@pnatarajanmd
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10
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Breast Cancer survivors experienced ⬆️ risk of 🫀Heart Failure (HFrEF & HFpEF) compared to women without BC.
Our paper with
@marilyn_kwan
@Richardkcheng2
Need for systematic
#cardio
-onc surveillance & care of BC patients for both HFrEF & HFpEF to ⬇️risk
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Our Paper "Epidemiology and risk factors for stroke in young individuals: implications for prevention" in Curr Opinion Cardiol is out. Aliza Hussain,
@MTLeeMD
,
@virani_md
7 key points 🧵
1. Rising incidence of stroke in young adults, with largest increase in ischemic strokes.
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At last was able to see the Great Mosque-Cathedral of Cordoba. A breathtaking architectural gem steeped in history ✨
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Paper now out in print
@JAHA_AHA
appreciate amazing duo
@miguelcainzos23
@khurramn1
for leading. Across 3 scenarios for PCSK9i allocation in primary prevention, CAC stratified❤️disease risk & was independently associated with CV events
#precisioncare
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Found 42%⬆️in heart attacks days after 2020 US Presidential election ! Our study in 6,396,830 adults across California
@JAMANetworkOpen
with
@MMeffordPhD
& collaboration
@HarvardChanSPH
Let's not underestimate the impact of emotional stress🔥on❤️
🧵
5
25
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Been an absolute privilege to serve on
@ACCinTouch
Board of Governors Steering Committee! Numerous hours of brainstorming,bringing ❤️ value to our patients!
@NicoleLohrMD
@DrJMarine
@drmalissawood
@jgharoldmd
@DPhilbinMD
11
7
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Hey
@DrMarthaGulati
&
@EugenioCingolan
, I come to your town to give a talk and also get paparazzi in the deal lol. They were disappointed on finding out that I was not some celebrity😂
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Got caught during selfie action lol. With awesome
@drmalissawood
@NicoleLohrMD
&
@DrJMarine
#BOG
@ACCinTouch
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5
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#WorldwarC
new book by
@drsanjaygupta
is a riveting read right from its part 1 “Humanity, We Have a Problem”. Highly recommended!
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19
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What better way to take a break
#ESCCongress
than having relaxing lunch with your mentor
@jgharoldmd
@ACCinTouch
@HadleyWilsonMD
@EdwardFryMD
@CathieBiga
@sandylewis
@apmille1
@DrJMarine
@KhandelwalMD
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6
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Our paper
@JAMANetworkOpen
Sidney et al. 2019 - 2020, several-fold ⬆️ in risk-associated deaths from Heart Disease & Stroke, with greater ⬆️ minorities & highest ⬆️among Black adults. More evidence of underlying systemic inequities & structural racism 🧵
7
27
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Time to speak again about
#SouthAsian
❤️
#hearthealth
. "East Bay Houscalls"
@PermanenteDocs
community facing effort to educate and interact with our diverse populations.
Risk of heart disease among South Asians is not only higher but also earlier in life!!
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81
Brilliant overview by
@dmljmd
et al. of CARDIA (Coronary Artery Risk Development in Young Adults) out in
@JACCJournals
:
This study is very close to my ❤️.Highlights🧵
1. Over 35 years, contributed to understanding of life course of CV health and disease.
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Abu as a heart attack survivor at age 45, more than likely you shaped my choice of profession. Heart disease continues to afflict many South Asian parents prematurely.
There are no words to thank you and Amma for all the selfless love and sacrifices. Stay blessed❤️!!
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If you were privileged to be asked to submit a Letter (s) of Recommendation for future Cardiology ⭐️(s), ERAS deadline is July 1st. It is totally worth it , even if it means firing up your computer late at night to make it happen!
#cardiotwitter
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@SaurabhSDani
@jaideeppatelmd
@virani_md
@AAgarwalaMD
@RomitB_MD
@DineshKalra
@aarti693
@SarjuGanatraMD
Time to disaggregate "Asian" as one group in U.S. when it comes to cardiometabolic 🩷 risk & prevention. 'South Asians' higher risk for diabetes and we found 'Filipino Asians' higher prevalence of hypertension across lifespan! Our paper in
@AJPMFocus
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30
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Ahead of
#FathersDay
. Got a chance to speak with wonderful
@HeatherKTVU
about ❤️disease
#prevention
. She shared emotional loss of her sweet dad at an early age due to 💔dx,
#1
killer for both men & women. Please discuss with your loved ones.
Video:
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0
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Surreal to give one of the key note lectures at
@SmidtHeart
Controversies and Advances in Treatment of CV 🫀 Disease meeting, along with iconic
@EricTopol
, Dr. Salim Yusuf,
@jgharoldmd
,
@MarbanLab
Dr. Noel Bairey Merz & Dr. James Muller.
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5
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One of my fav evenings.
@American_Heart
Bay Area❤️Ball with legends & friends or legendary friends :) who inspire me so much.
@HeartBobH
@misscalifornia0
@EldrinL
@FaRodriguezMD
, Latha Palaniappan. Was honored to represent
@PermanenteDocs
#CardioTwitter
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5
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Not easy to get a photo in
#prague
where
@TomCruise
shot his first
#mission
-impossible, kept getting photo bombed lol.
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3
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Younger women (aged 30-55 yrs) who were current smokers had more than twice the risk of premature heart attack & stroke than never smokers, this ⬆️ increased risk similar to men.
Our paper
@AmJPrevMed
Collaboration with
@khurramn1
@RonBlankstein
🧵(1)
5
18
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What about plant-centered diet and risk of diabetes? Our study
@ADA_Journals
showed that beginning in young adulthood, those with largest ⬆️ in APDQS (more plant-centered diet) over 20 years had an incredible 48% ⬇️ risk of diabetes by middle adulthood! 🧵
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First
@DrMarthaGulati
now
@mmamas1973
… celebrity
#selfies
#ACC
@purviparwani
@adityadoc1
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@a_l_bailey
@ACCinTouch
@NicoleLohrMD
@HosmaneCardio
@DrJMarine
#Itstime
for new CV boards. It’s going to be high value for membership
@ACCinTouch
@Cardiology
@jgharoldmd
@apmille1
@DrJMarine
@EdwardFryMD
@sandylewis
@HadleyWilsonMD
#ACClegconference
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With amazing “he is everywhere”
@SrihariNaiduMD
& super cool
@Gupta_MD
. Missing you
@AAHilliardMD
.
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🔥 County-level map U.S - ⬆️leisure time physical INACTIVITY areas had⬆️rates of
#smoking
#violence
#obesity
#diabetes
#pollution
& ⬇️income & exercise facilities.
#Social
determinants
Our new study in
@BJSM_BMJ
led by
@ShadyAbohashem
with
@khurramn1
@ErinMichos
@DrMarthaGulati
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With two of my favs
@adityadoc1
&
@mmamas1973
. They are source of such positive energy on top of being so incredibly talented 🔥. I want to be like them when I grow up 😜
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South Asian Heart Health Awareness and Research Act Passes Key House Committee -
@EdwardFryMD
@DickKovacs
@ACCinTouch
American College of Cardiology
3
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First vacation in 2 years ..much needed ‘diastole’ before
#cardiocall
on Christmas
@mmamas1973
@DrToniyaSingh
@AnastasiaSMihai
@HanCardiomd
@hvanspall
@SanChris999
@drercardio
@purviparwani
16
3
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My fav selfie of
#ACC2023
. With superb IM resident & mentee Dr. Njuguna who presented 2 posters. With her very proud dad who went later in life to become a nurse. Let’s get her in
#Cardiology
!
@DrQuinnCapers4
@DrMarthaGulati
@ACCinTouch
#WIC
#Equity
5
9
63
Survived the
#eclipse
with my “distinguished
@ACCinTouch
educator” award winning friend
@payalkohlimd
.
@AmiBhattMD
.
#wrapped
up
#ACC2024
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5
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9,000,000 deaths a year due to air pollution. Talk today at
@ACCinTouch
BOG by Dr Phillips.
@DineshKalra
@DrMarthaGulati
#Climate
change & impact on ❤️ needs a lot more work!
5
14
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❤️disease remains
#1
killer for women & men in US. Amazing evening for a great cause
#Heartball
Bay Area ! With not 1 but 3
@American_Heart
past/ future presidents
@HeartBobH
, Dr. Albert,
@Joseph_C_Wu
@GoRedForWomen
@AHACalifornia
Shared common goal of stamping out❤️disease!
6
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With superstars 🌟
@purviparwani
@adityadoc1
& awesome friend
@AAHilliardMD
@CaliforniaACC
annual celebration.
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I know it’s no Chai but when in Italy, got to try them all ! …
@01sth02
@payalkohlimd
@DrToniyaSingh
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Our spirits continue be tested as we approach 2022. While we grappled with enormity of it all in 2021,my first foray into social media with
#Twitter
was a silver lining🙏to all who graciously welcomed & taught me so much. Connections keep us whole so cheers to a lot more of them!
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@ACCinTouch
Board of Governors
#ACC24
. It was a privilege to serve with these amazing
#BOGs
from across the nation.❤️ the overlap with current, outgoing & incoming Governors year after year. During our work including
#advocacy
#membership
#PatientCare
made friendships for life!
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Our paper showed innovative physician Peer Outreach Support (POST) Program⬆️
#Wellbeing
, ⬇️negative emotions/stigma, ⬇️🔥out, positive
#Culture
change. Work among
@PermanenteDocs
led by amazing Dr. Molly Tolins in
@PLOSONE
Story:
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14
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It was so much fun to hang out with brilliant writer & friend
@haiderwarraich
. Yes he is also an awesome cardiologist & researcher. Got our intellectual nourishment lol, discussed life, books, academics and our days in
@AKUGlobal
& Boston 😇
Wonderful to host
@JamalRanaMD
as he visited
@ACCMass
to give keynote on how climate change is affecting heart disease!
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There were countless special moments at
#ACC24
! Sharing few more. Here with
@EdwardFryMD
@CathieBiga
@Dr_HaniNajm
@jgharoldmd
. Cycling off
@ACCinTouch
#BOG
. Presenting how we prevent ❤️ disease among millions of patients in the community
#TPMG
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We owe so much to our mentors ! Giving
@CaliforniaACC
Welcome address Controversies & Advances in CVD was extra special at alma mater
@CedarsSinai
. Down memory lane with Drs
@jgharoldmd
Raj Makkar PK Shah
@kaulcsmc
Dan Berman Sheila Kar
4
15
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"Social Vulnerability, Determinants for Equitable Health, & Cardiovascular❤️Disease: A Bridge Still Too Far", 🙏
@JACCJournals
Advances editorial invitation.🔥 topic. With🌟mentee
@ikacquah
.
Paper by
@khurramn1
et al.
Need ‘health care’ not just ‘disease care’!
@NMHheartdoc
1
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Our paper in
@BMC_series
again highlights importance of variation in risk & disease burden among different Asian ethnicities. Vicks et al
⬆️prevalence among all Asians & within Asian ethnic groups, Filipino & South Asian considerably ⬆️diabetes prevalence
3
16
55
Appreciate
@washingtonpost
highlighting our upcoming presentation
@ACCinTouch
ACC24. Scientific Sessions. Conversation is changing around the notion that alcohol is “heart ❤️ healthy”
7
15
54
Was inspired to be with Women in Cardiology❤️visionary trailblazers Drs. Goldschlager & Killebrew, who started their careers > 50 yrs. ago!! Dr. Ansari, 1st woman CEO-elect Kaiser
@PermanenteDocs
,
@misscalifornia0
Physician-in-Chief KP & Dr. Brindis past President
@ACCinTouch
.
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Hey
@SrihariNaiduMD
we were just discussing to collaborate, maybe write a paper together. Seems like
@netflix
beat us to it. Look what they are calling the
#desi
adaptation of the show
#RayDonavon
😜
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3
54
Cheers
#ACC24
❤️
@drdavemd
@QWasif
@HosmaneCardio
@sxz110
@Vijayrao7474
@rajkmd
@PanjrathG
#wellbeing
#diastole
@SrihariNaiduMD
@Gupta_MD
@GarimaVSharmaMD
2
10
55
Clearly could not get enough of the most spectacular building surviving since antiquity. Parthenon “Temple of virgin goddess” on Acropolis “high city”. Dedicated to goddess ❤️Athena in 5th century B.C. A classical architectural marvel & a majestic example leading to modern era!
9
4
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2022 AHA/ACC/HFSA Heart Failure Guideline: Key Perspectives - American College of Cardiology
1
15
55
Really enjoyed moderating session at
#NapaCardiology
with
@ACCinTouch
President
@HadleyWilsonMD
& Dr. Brown. All-star ✨speakers included amazing
@NicoleLohrMD
&
@AmiBhattMD
, 2 past ACC Presidents
@mikevalentineMD
&
@RickChazal
. Wide ranging topics generated lots of discussion.
5
4
54
So proud of
@purviparwani
one of
@CaliforniaACC
Catalysts to be among the Top
#ACC21
Influencers!
and lots of🙏 for all the influencers for disseminating such amazing science and sparking discourse across the globe during
#ACC2021
2
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#tuesdaymotivations
Physical inactivity as dangerous as smoking for Heart Disease & Stroke.
Our 2020 study in
#EAPC_ESC
Compared 6 of AHA “Simple 7” CV health risk factors in nearly 1 million patients. Lack of physical activity carries 65% excess risk.
4
25
53
Happy Heart Syndrome: Takotsubo Syndrome Triggered by Positive Events - American College of Cardiology
2
11
54
0
14
52
#AlcoholAwarenessMonth
My discussion with
@arasmusKTVU
Bay Area
@KTVU
#WomensHealth
❤️health
Video:
Alcohol as
#VitalSign
. Scientific presentation coming up
#ACC24
@DrMarthaGulati
@DBelardoMD
@KBerlacher
@KemalogluOz
@purviparwani
@PamTaubMD
@iamritu
7
11
51
Our important paper out in
@JACCJournals
led by
@ScottCasey_MD
.📱 & 📹 visits to offer safe alternatives to in-person care for 🩷 Failure care.
Article:
Editorial: "Telemedicine primary care models hold promise to revolutionize outpatient HF management."
4
19
53
Our paper
@JCO_ASCO
@marilyn_kwan
et al. Heart disease and cancer remain leading cause of death in
#women
. Additional confluence of diabetes and hypertension points to need for more vigilance & care to mitigate risk in
#breastcancer
survivors!
#CardioOnc
9
29
52
Time for reinstatement of LDL-C testing/goal as HEDIS quality measure for patients with heart attack/stroke to align with national guidelines
@amjmed
with
@virani_md
@CBallantyneMD
⬆️value,⬇️cost intervention to improve statin adherence & intensification
5
17
52
Squarely back to patient care, research & working with amazing teams. Definite sources of 'meaning in life' for me. Surreal that few days ago was super blessed to see beautiful 🇬🇷 ... and pose in pink😂, brief but fun 🩷 'diastole'.
14
3
53
The more you move the better it is for your❤️!
Paper in
@BJSM_BMJ
with
@ShadyAbohashem
@ErinMichos
@DrMarthaGulati
@khurramn1
Story:
@kpnorcal
@KPDOR
1
7
48
Future is Now 🔥. Our paper in
@AJPCardio
Polygenic risk and incident ❤️disease in a large Multiethnic Cohort
Full text:
Led by Dr. Carlos Iribarren, with
@DrMarthaGulati
,
@DrNathanWong
,
@rblument1
& Dr. Steve Nissen.
2
10
52
Impact of
#airpollution
&
#climatechange
on ❤️disease. Comprehensive cover story by
@DebraBeck18
in
#CardiologyMag
including experts Drs. Brauer, Rajagopalan & Alexeeff E.
@ACCinTouch
Story:
Our existential crisis 🧵1/3
2
16
50
Strategies for prevention of
#prediabetes
may focus on avoiding overweight status from young adulthood. Importance of
#Primordialprevention
❤️.Our paper out from CARDIA study, 30 yrs. follow up! Led by Dr. Schreiner.
@dmljmd
#Obesityjournal
:
0
14
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"Happiness is not the goal, and unhappiness is no the enemy". There are books and then there is the book - "Build the Life You Want" by
@arthurbrooks
&
@Oprah
. Could not think of a better gift for
#medicine
@PermanenteDocs
#Wellbeing
#burnout
#meaning
#selfcare
1
9
49
At a physician’s wellness event that I helped organize, so much energy &
#optimism
@kpthrive
@misscalifornia0
#California
living
@DrMarthaGulati
@purviparwani
@DrAaliya
@ariannahuff
@drmalissawood
6
3
50
Our paper
@AmJPrevMed
.⬆️awareness about differential Cardiometabolic risk (CR) in distinct Asian ethnic groups. Asian-specific BMI threshold resulted ⬆️clustered CR risk in South Asians & Filipinos
Led by⭐️Dr. Kizzee, aspiring cardiologist
#pipeline
#WIC
6
20
50
@SrihariNaiduMD
@CorewellHealth
@nyknicks
@IvanHansonMD
@psorajja
@seiiwaiEPmd
@baileyannRN
@purviparwani
@Babar_Basir
@AnkurKalraMD
@SCAI
@HCMBeat
@mmartinezheart
@4hcm
@ABaliMD
Off to
#ESCPrev2024
🇬🇷. Let’s make sure less people need
#stents
😎
@adityadoc1
@pkothapalliMD
@SanChris999
@mmamas1973
@OKhaliqueMD
@DrMarthaGulati
@EugeniaGianos
4
4
49
Our paper out today
@ESC_Journals
highlights increasing tide of HFpEF. In a large contemporary population, almost three quarters of Emergency Department patients with HF have HFpEF and have higher 30 day adjusted mortality compared with those with HFrEF.
1
15
48
Excellent paper in
@ESC_Journals
led by Shazia Mohsin
#WIC
@AKUGlobal
on how a Quality Improvement initiative in pediatric echocardiography laboratory in low- to middle-income country can raise quality without substantial increase in resources or cost.
2
14
48
@RannaParekh
@jaideeppatelmd
@ACCinTouch
@ditchhaporia
Excellent all⭐️session
@ACCinTouch
#healthequity
webinar on
#SouthAsian
❤️health. Some take home points by
@virani_md
.
@ditchhaporia
@khurramn1
@GarimaVSharmaMD
@jaideeppatelmd
@pnatarajanmd
@alka_kanaya
1
24
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#ACCLegConf
Excellent teamwork!
#SouthAsian
❤️ disease risk issue,among others, was raised.
@HosmaneCardio
@QWasif
@iamritu
@MahiAshwath
@DrToniyaSingh
@payalkohlimd
@KTamirisaMD
@purviparwani
@happythakkar
@Vijayrao7474
The “photobomber” is American College of Cardiology, California Governor,
@JamalRanaMD
Thanks for all you do for
@Cardiology
@ACCinTouch
Looking forward to learning from you &
@QWasif
as I start my term. Which
#Bollywood
star does
@JamalRanaMD
resemble ?
#ACCLegConf
1
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4
10
47
"Sit less and Move more" for cardiovascular health
Excellent review :
2
15
45
#FamousFive
BMI, Blood Pressure, Non HDL, Smoking, Diabetes. More than half of CVD cases attributable to five modifiable risk factors
3
18
46
Ongoing debate 🔥 CABG vs PCI in older adults. Our paper
@AGSJournal
led by
@ahmedijazshah
with
@cardskrish
&
@MDSolomonMD
Patients ≥65 years with ACS & multi-vessel CAD. Compared to PCI: CABG ⬆️days alive out of hospital & ⬇️all-cause mortality, repeat PCI, dialysis & MI 🧵
1
16
46
Wow … speaking of standing room only.
#ESC2023
is like a rock concert!
#Guidelines
session, discussing SCORE-2 risk prediction for patients with diabetes.
@Steph_Achenbach
@Hragy
@DrMarthaGulati
@HanCardiomd
3
11
46
"Heart Beet" arrived - thank you
@RanaAwdish
for this beautiful creation. I felt it will be perfect for a cardiologist and at times an existentialist's study.
1
7
44
It was exciting to be part of orientation for
@ACCinTouch
amazing new Governor-Elects. Presented on "Framework & Toolkit to lead an ACC Chapter". 🙏 to the team effort of awesome BOG workgroup on "ACC Chapter Health"
3
10
45
Felt honored to meet amazing faculty
@Napa
Cardiology
@ACC_Georgia
thanks
@ManiVannanheart
.With
@Joseph_C_Wu
,
@ditchhaporia
, David Maron,
@EldrinL
,Joe Woo
@StanfordMed
@CaliforniaACC
2
5
45
Appreciate the discussion with
@AStarrantino
@CBSNews
@KPIXtv
On our study about political stress in more than 6 million adults across California
@JAMANetworkOpen
8
9
44
Felt nostalgic about late Bernard Tyson during visit to
@KPMedSchool
, who would've been proud. Tuition free 1st 5 classes, focus on diverse students, many who 'travelled the distance' to be 1st to join medicine. He publicly shared his journey of 💔disease & supported ❤️causes!
4
5
45
Downloaded the app for
#ACC23
and will start planning! Don’t will till last minute
@ACCinTouch
@DougDrachmanMD
@KBerlacher
@jlinderbaum
3
8
44