Shubha Deep Roy, MD, FACC, FASE, FASNC, FSCAI
@SDRoyMD
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Interventional Cardiologist @TheIowaClinic. Adj Asst Prof @iowamed. Trained @UIowaIC, @UIowaCVFellows, @umkcIM, AFMC. Ex Army Physician. #GHHS #AΩA
Des Moines, IA
Joined May 2012
Causes of MI in the Young! The OCTOPUS study out in JACC today @JACCJournals
@claireraph et al
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Enjoyed and learnt every minute at @cvinnovations CVI2025. Thanks to course directors Drs. Subhash Banerjee, @esbrilakis @psorajja @shishem for organizing such a fantastic conference. Great work by @vjainmd presenting our challenging case. Looking forward to attending again next
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I am truly honored and humbled to receive this recognition from the residents @uiowadsmIM. Teaching medicine is a privilege but teaching you has been a joy. I also want to thank my family, my colleagues @TheIowaClinic, and my own teachers for their support and inspiration.
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How to start a #RDN program? It’s not just about the $$$ — it’s also about the clinical impact. Matheen Khuddus, MD, FSCAI @matheenkhuddus breaks down what it takes to add #RDN to your service line, key admin needs that everyone should know, & reimbursement highlights. #SCAIRDN
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Dr. Eric Secemsky, FSCAI @EricSecemskyMD at #SCAIRDN: anatomy and technology overview, procedural strategies, and a real-world #RDN case featuring a deep dive into #rRDN device details & practical how-to insights.
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Dr. Ajay Kirtane, FSCAI @AjayKirtane breaks down the essentials of #uRDN—covering device, procedural strategy, balloon sizing, and step-by-step case guidance at #SCAIRDN #RenalDenervation
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If you're #ACCEarlyCareer attending @ACCinTouch #ACC25, don't miss our Early Career Professionals Guide — the content most 🎯 to you collated in one place 👇🏽 Stop by the Young Professionals Zone Sunday 3/30 10-10:45a to say 👋🏽! @nbwiggins @T_GuptaMD
https://t.co/J7AfzfFnRg
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1/ Renal Denervation- which system works? The two main players in the space are ultrasound guided (@ReCorMedical Paradise) and radio frequency (@MedtronicCRDN Simplicity). When starting a new program how do you choose? Let’s review #RDN #CardioX #NephroX #NoCOI
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#TCT1024 Bit disappointed by ECLIPSE Trial results. There have been discussions about IC fellows not getting exposed to atherectomy but seems like it doesn’t matter for most cases? POBA, NC and IVL if needed. No difference in MSA CSI VS POBA in Ca++ lesions!
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Another gem at #TCT2024 that many here had hypothesized: For Medina 1:1:1 DES for the main branch and DCB for the side branch resulted in lower TLR. If DCBs weren’t so costly in the USA, this approach could quickly become the standard. It’s far simpler, faster, and reduces
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We discussed this observation on #CardioTwitter: several noted that administering a heparin bolus the ER (100 units/Kg, not max 4,000), rather than waiting until the cath lab, improves TIMI flow by the time the patient reaches the cath lab. This is now supported by an RCT!
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A big thanks to @kevinjamescroce @jason_wollmuth @ekgpdx @KateKearney4 and the @AbbottCardio MedEd staff for organizing a fantastic PCI Masters course! Really enjoyed the hands on workshops! #CardioTwitter
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1/ Step-by-step “CORONARY FUNCTION TESTING” for #ANOCA #INOCA PREPARATION: 1. Hold all vasodilators for 48 hours (exceptions = hydralazine, clonidine, doxazosin) 2. Hold caffeine for 24 hours (for adenosine) #CardioTwitter
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DAPT preRx not indicated unless STEMI/coronary anatomy is known. Reasons: 1. Can’t predict LM/3VD. 2. If LM/3VD, CABG is delayed 3. ⬆️ bleeding with no ischemic benefit (ACCOAST, SCAAR, ISAR-REACT-5, DUBIOUS trials). 4. Stent thrombosis risk <.5% 5. European guidelines Class III
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Sensitivity (36%) of the Sgarbossa criteria for AMI diagnosis in LBBB has been improved with Smith (91%) ST/S ratio <_-0.25 to now Barcelona (93-95%) with just 2 criteria. Just remember 1.concordant ST dev in any lead or 2. Discordant ST dev>1 mm in low voltage leads (R/S<6mm)
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Really enjoyed my time at #CVI2023. Tremendous amount of learning, networking and catching up with friends/mentors. Very well organized! Kudos to Dr Subhash Banerjee, @esbrilakis @psorajja @shishem @cvinnovations
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Future Cardiologists!!!🫀 If you’re applying for fellowship THIS YEAR, you don’t want to miss this webinar with Q&A with current PDs on June 6th 6:30-8:30pm EST. Register here: https://t.co/5PydYF3jEW
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1/ #HFpEF treatment algorithm #tweetorial. This is the algorithm I currently use to treat HFpEF based on evidence we have thus far and my anecdotal experience treating patients over the past 16 years in the @NMCardioVasc HFpEF Clinic.
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HFrEF ↘️↘️↘️median survival 12-18 years GDMT ↗️↗️↗️ median survival: ✅ ARNI 2-3 yrs (1-2 yrs vs ACEI or ARB) ✅ BB 3-4 yrs ✅ MRA 2-3 yrs ✅ SGL2i 1-2 yrs Clinical benefits non-overlapping, incremental, additive Quadruple >>>triple>>>double Fast >>>>slow Simultaneously!
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Calling all fellows/Cardiologists! “Don't miss out on this interactive and hands-on course designed to meet your educational requirements and aid in board exam prep. Spread the word and apply now! #Scholarships available #BoardExamPrep #CardioTwitter @crfheart @WomenAs1 #ACCIC
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