Javed Butler
@JavedButler1
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Father, husband, heart failure doctor
Dallas, TX
Joined September 2013
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オーロラ
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Dr Fonarow is now chief of cardiology-UCLA. Gregg is the most hardworking, ethical, patient centered, competent and compassionate person I have ever met. It has been a privilege to collaborate with him. CONGRATULATIONS.
@HFSA
@ACCinTouch
@AHAScience
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I am always concerned if the font size on slides is legible for the audience - finally found the right size.
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Friends. It is very cold outside. Consider carrying in your car warm clothes, blanket, gloves, hat, whatever - something that you can spare and if you see a homeless person, they can really benefit from it and use it. Just a thought.
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No way to answer emails with one hand. This has been going on now for 30 min !!!!!
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CV effects of weight loss therapies | European Heart Journal
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One benefit of having your last name start with B is where you are placed on the list.
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Received this gift of appreciation for visiting professorship from friends in Philippines. I think I got a lot more then I contributed!
#education
#trainees
#mentorship
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Video from car while driving to get breakfast in Hilton Head,SC. Are you kidding me!!!!
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Looking forward to presenting the results of SGLT2 inhibition in patients post MI at LBCT session at ACC.
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20 mins and no end in sight. How long before you can leave and not feel guilty?
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Op report of the first heart transplant. History of medicine at University of Mississippi.
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Jardiance® meets primary endpoint in reducing risk of cardiovascular death or hospitalization for heart failure in phase III trial in adults with and without diabetes |
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Always learn when you are around these erudite colleagues.
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In Philadelphia for AHA. Great meeting. COLD weather, painful to just cross the road. Streets have many homeless people. Sad. What is our responsibility? Idea! As we leave to go back, let’s give our sweaters or coats to someone homeless. One act at a time can help.
#homelessness
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Celebrating a decade of collaboration with an investigator meeting. Best part of academia is long lasting friendships.
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When your daughter takes over your office, laptop, moves sofa from waiting area in, uses white coat as blanket, and then tells you that you are too loud on conference calls and disturbing her…….
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ACEi in my opinion now should be limited to only those where ARNI is not accessible. Otherwise before any other drug or device - give a good run to ARNI+BB+MRA+Dapa and reassess symptoms and heart structure and function on this combo
Optimal implementation of guideline-directed Rx for HFrEF could have substantial benefits.
@NMHheartdoc
@HFSA
@JavedButler1
@MKIttlesonMD
@BiykemB
@JAMANetwork
Association of Optimal Implementation of SGLT2-i Therapy With Outcome for Patients With HF
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Pharmacological Treatments in Heart Failure With Mildly Reduced and Preserved Ejection Fraction: Systematic Review and Network Meta-Analysis - ScienceDirectd
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@coconnormd
Thanks Chris. Leveraging healthcare networks to generate high caliber scientific evidence and to improve quality of care is critical for patients and for the health of the society. Very exited about the new opportunity.
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You don’t need a P value to interpret these results! Let’s do it.
@Billal72073638
@gcfmd
@OKiamanesh
@YasMoayedi
@KardiologieHH
@CircHF
@HeartFailureFrm
@ShelleyZieroth
@shelleyhallmd
@DrNasrien
@JJheart_doc
@RyanTedfordMD
@AndrewJSauer
@DoctorRTC
@Nikhil15
@JavedButler1
@Mosaad
@hvanspall
@MKIttlesonMD
@HFSA
@mvaduganathan
@BiykemB
@jesse8850
@NMHheartdoc
A huge number of lives could be extended. For a 55 yr male with HFrEF who is already taking an ACEi and BB
1⃣ Switch from ACEi or ARB to SacVal
2⃣ Start MRA
3⃣ Start Dapagliflozin
⏩6.3 years of extra life
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I live in a blue and work in a red county. All I see is good everyday people on both sides, but still families/friends are so divided. Rather than those who won or lost make their strategy, let’s make our strategy. This will happen less with policy and more by opening our hearts
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STRONG-HF and Implementing Heart Failure Therapies: Godspeed … With Care | Circulation
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Nothing beats spending time with students, residents, and fellows!
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These virtues (add honesty) are not only to be impressed by but to be adopted. Make no mistake. These will not be recognized, paradoxically will antagonize some against you and others will take it as weakness or naïveté. But still, totally worth it and important to transcend
Don't be impressed by money, followers, degrees, and titles. Be impressed by kindness, integrity, humility, and generosity.
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Excited to be presenting at the late breaking session at
#HFSA2023
! I hope to see you there - for science and for community - register today >>
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Blinded Withdrawal of Long-Term Randomized Treatment With Empagliflozin or Placebo in Patients With Heart Failure | Circulation
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Not 1 or 2 but 5 girls under 10 are having a party under this ‘tent’. Lesson for academics to play together under a tent and accommodate each other as well :)
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Very much appreciate the great time I had with friends at UT Southwestern. What a great group of colleagues.
@MarkDrazner
@ericpetersonMD
@josephahill
@MaryjaneFarrMD
@thomasjwang1
@JTThibs
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SGLT2i as Enablers of Chronic Glucocorticoid Therapy - ❤️ to see responses to the hypothesis !
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Just to clarify, I do not manage the DOM residency twitter account AND I don’t not know who does. Just for the record .... :)
We’ve got a pretty cool department chair!
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#compassion
#kindness
#good
Weekend lessons. Usually see over 10 homeless people during my walk. Lesson 1: look into their eyes. 2: compassion not equal to good. Compassion is only 1% on path to be good. Good much harder. 3: Just the thought of changing walk path is
#cowardly
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CVCT is one of a kind meeting. Topics discussed are both critically important to the society but not necessarily discussed in other forums. Great insights in innovation with the cardiovascular space from experienced erudite colleagues.
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Device Therapy in Chronic Heart Failure: JACC State-of-the-Art Review - ScienceDirect
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Have you seen the program yet for the HFSA Virtual Annual Scientific Mtg? Go check out the online program planner for details on all sessions and faculty line-up. You can register and find the program here:
#HFSA2020
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Thank you for the invite. Not many things in life makes you happier than to do something with the institution you graduated from.
Awesome talk by
@JavedButler1
on the principles of therapy in
#heartfailure
Men and women at almost 20% life time risk of
#heartfailure
@srf_aku
@AliAahilNoorali
@ShamsPirbhat
@AKUGlobal
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How a boy cat looks like on birthday when 9 y/o daughter is in charge.
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Honored and enthusiastically looking forward to working with a team of incredibly dedicated faculty and staff so skillfully groomed by Dr. Dan Jones.
Congratulations to Dr. Javed Butler for being named The Patrick H. Lehan Chair of Cardiovascular Research at UMMC. Looking forward to the great things he will accomplish.
#cardiovascularresearch
@UMMC_Heart
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Clinicians in my hospital concerned about enrolling in HCQ trial. Great to closely follow literature. Hope to get clarity on ? raised soon. But to clinicians, please don’t stop enrolling in trials. This is the ONLY way to get definitive answers and DSMB closely monitoring safety
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In the middle of appropriate enthusiasm of cardio renal metabolic conditions and HF risk, let’s not forget the related hypertensive heart disease.
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Just to be clear, I do not control nor do I know who does control the UMMC University Heart twitter account :)
Does
@JavedButler1
ever rest/sleep?
@UMMCMedicine
Chair is presenter and Co-Chair of session 3 on 12/10 and session 5 on 12/16. Looks like a fantastic lineup of presenters topics!! Going Back to Heart of Cardiology:
@Medscape
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Commanding leadership is not a virtue, but still not uncommon even outside of crisis situation
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Dr. John McMurray explains in 15 mins how to treat HF, data on new trials , and manage the complexity of new and old medication combination. via
@ReachMD
#hfsa
#HeartFailure
#VictoriaHF
#DAPAhf
#ParadigmHF
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Is it me or sometimes your pets evoke the same emotions as your kids do?
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Celebrating my first UMMC anniversary. Great colleagues and friends. Looking forward to many more years and many more achievements. Thanks all and thank you Demondes for hosting.
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Finally understood the meaning of p value directly from the maestro.
@f2harrell
@texhern
@coconnormd
@gcfmd
#Statistics
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I am biased but I think this is a really important paper for those interested in conducting heart failure trials.
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Need national guidance of how to support careers of women and the need to start and nurture families. Current options of delay/not have family, ignore career, or don’t give attention to children are unacceptable. Partner participation is a good start but not a total solution.
@hvanspall
There is a high attrition rate for mid career in academic medicine because there is nowhere for women to advance from there. Many women remain "mid career" level for the rest of their careers.
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Patient safety is
#1
and indIvidualizing to each patient is clinically needed. With this stated, two comments. 1) we start 5-6 new meds post MI in a couple of days, why does is take months/years for HF?. 2) not starting meds have safety concerns also. Agree with
@gcfmd
.
@NephroGuy
@SantosGallegoMD
@Sglt2inhibitorL
@hvanspall
@kevin_damman
@FH_Verbrugge
@ShelleyZieroth
@DrRajivsankar
@JavedButler1
@SantasEnrique
@JJheart_doc
@AdriaanVoors
@DrNasrien
@kidney_boy
@EsfandiariSam
@ChristosArgyrop
@HanCardiomd
@ValleAlfonso
@MichaelNassifMD
@NatalieMordi
All 4 at once is the ideal order (at low HF starting doses)
Any one being delayed leaves patient at higher risk of worsened HF/fatal events. Far less likely to have AE with stating all 4 together, then with delay
Occasional patient with low SBP may require few day separation
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Friends and heart failure community. 2020 HFSA call for session proposals is open. Deadline Jan 13th. Need your great ideas across our specialty. Trials, quality, outcomes, implementation, system/process, HF, Txp, MCS, PH, basic, Epi - you name it. Welcoming all innovative ideas
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We cannot ignore heart failure prevention anymore. Weight loss, smoking cessation, HTN treatment, and now risk reduction in those with T2DM with SGLT2i - what is missing is action on our part!
#Heartfailure
is a common & serious complication of diabetes. Our
@CircAHA
#perspective
on recognizing SGLT2 inhibitors as evidence-based therapy for preventing HF in a large population at high risk for developing it.
@JavedButler1
@DCRINews
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“ ‘When someone seeks,’ said Siddhartha, ‘then it easily happens that his eyes see only the thing that he seeks, and he is able to find nothing, to take in nothing. [...] Seeking means: having a goal. But finding means: being free, being open, having no goal.’ ” Hermann Hesse
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Time for celebration. Drs. Thigpen and Henson leading Medicine and Med-Peds residency programs graduation ceremony. Proud of all the graduating residents. A privilege for me to work with such talented and dedicated group.
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Hard at work preparing to host a French themed party for a bunch of 10 year old girls as a prelude to their first ever school trip - to Paris.
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Just finished this session. Have to be nuanced when concerned about polypharmacy. It’s a problem when unwarranted or overlapping or low doses polypharmacy is used. But life saving polypharmacy should be embraced and managed. It is not a ‘problem’, it’s a management inconvenience
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Masterful presentation by Maggie Redfield on multiomics, biopsy and HFpEF and discussions by
@HFpEF
@SvatiShah
Greg Lewis, Barry Borlaug Dalane Kitzman Kavita Sharma. Akshay Desai and other at the NIH HeartShare annual meeting.
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Comparing the Benefit Of Novel Therapies Across Clinical Trials: Insights from the VICTORIA Trial | Circulation
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Indebted to Jim for his visit, discussions with fellows and faculty, a simply superb lecture, and sharing his experiences with us.
@UMMCMedicine
Proud to Sponsor the William C. Little Memorial Lecture featuring
@JJheart_doc
speaking
@UMMCMedicine
@UMMCMedRes
Grand Rounds.
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ARNI or BB or MRA or SGLT2i - no reason to wait for the next clinic appointment to start - no matter how ‘stable’ a patient is.
@jhernandeznp
@ccardyDNP
@FH_Verbrugge
Just like ANRI, BB, and MRA, ideal time to start SGLT2i is now, whether the HFrEF patient is in hospital, office, or home, if no absolute CIs
Benefits are early and cumulative. Comprehensive disease modifying Rx to extend survival 6 plus years.
@JavedButler1
@mvaduganathan
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New era for UMMC internal medicine residency program under the directorship of Dr Calvin Thigpen and med-peds residency under Dr Zeb Henson. Future is bright. Looking forward to working with you both and the incredibly dedicated team of APDs.
@UMMCMedicine
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Back to school for my daughter. Hope all kids remain safe.
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GLP-1 receptor agonists and vascular protection | American Journal of Physiology-Heart and Circulatory Physiology
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HFSA annual session. It has started !! Lots of great learning options for all, no matter your practice choice
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Sodium glucose co-transporter inhibitors and heart failure outcomes across different patient populations | European Heart Journal | Oxford Academic - Remarkable Consistency
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Great news. We need to now rethink practice of medicine. 1. Focus on implemention science with healthcare system interventions and not only rely on clinicians, 2. Patient and caregiver education/engagement, and 3. Have patient-centric common cardio-renal-metabolic clinics
Finerenone also reduced the risk of the key secondary endpoint, a composite of time to first occurrence of cardiovascular (CV) death, non-fatal myocardial infarction, non-fatal stroke, or heart failure hospitalization.
@mvaduganathan
@JavedButler1
@NMHheartdoc
@BiykemB
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Very important. Next step is to define worsening HF based on biology and not treatment.
Treatment of worsening HF is diversifying & often occurs outside a hospital setting
Two studies at
#hfadiscoveries
from
#PARAGONHF
&
#DAPAHF
reinforce prognostic implications of ambulatory worsening HF events, strengthening rationale for their inclusion in health policies & RCTs
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Time to reconsider the perception and management of hypertensive heart disease - European Journal of Heart Failure
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