David Winchester @drdavemd.bsky.social
@drdavemd
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https://t.co/me84C7zthv Cardiology & health services research. Posts do not reflect positions of my employers. K index 1.42.
Joined May 2008
Thanks to @TNChapterACC for the invite to talk about @ACCinTouch, the speakers and posters were amazing!
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Thanks to members taking action, #ACCAdvocacy helped secure an extension of Medicare #telehealth flexibilities through Jan. 30. But our work is not done. We're pushing to make these flexibilities permanent. Send your message 👉 https://t.co/NvaCrfYJMf
#ACCGrassroots
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🧠Orthostatic Hypotension (OH): The Forgotten Cause of Falls, Fatigue & “Coat Hanger Pain” A complete clinical breakdown every resident should know 🩺 #MedTwitter #USMLE #neetpg
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Thank you Dr. Christopher Kramer and @NJACC for a truly fascinating talk at the Montclair Museum on CMR in cardiomyopathy. Incredible to see how rapidly CMR is shaping our diagnostic approach. Three-word takeaway: Scar is bad đź«€ @ChrisKramerMD @MyASNC @ACCinTouch @Vandyckmarian
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Really pleased to coauthor this review in @JACCJournals on #CVImaging in older adults led by @krishnapatel888 and Radmila Lyubarova @MountSinaiNYC @AlbanyMed. Older adults are frequent consumers of #CVImaging but also have key differences reviewed here. @ASE360 @SCMRorg @MyASNC
New in JACC: Advances: Noninvasive cardiac imaging in older adults demands tailored strategies. Age alters “normal” findings, calcium limits CT accuracy, PET/CMR add value, and AI + portable imaging expand access. @DocStrom et al. in @JACCJournals: https://t.co/DhMGB9nII7
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"The ACC is concerned that CMS chose to keep the proposed changes to site of service payment differential and efficiency adjustment, despite widespread concerns from the medical community,” #ACCPresident @ChrisKramerMD discusses the 2026 Medicare Physician Fee Schedule with
cardiovascularbusiness.com
The new, negative 2.5% efficiency adjustment will be applied to the vast majority of Medicare payments for physician services. It was opposed by cardiology and most other medical societies.Â
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The FMA is proud to introduce the Karl M. Altenburger, MD Physician Leadership Academy’s class of 2026. We look forward to supporting these 26 dynamic physicians as they pursue their leadership goals in the new year. Learn more about them: https://t.co/dNR11ju1dX
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"In this meta-analysis including individual-patient data from five RCTs, beta-blocker...did not reduce...death..., myocardial infarction, or HF in pts with an LVEF>=50% after MI without other indications for beta-blockers."
nejm.org
The benefit of beta-blockers after myocardial infarction in patients with a preserved left ventricular ejection fraction (LVEF) is unclear. We conducted a meta-analysis at the individual-patient le...
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Transforming Cardiovascular Leadership Through Strategic Investment https://t.co/2DitaOyisN
@JACCJournals @ChrisKramerMD @ACCinTouch
jacc.org
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Myocardial blood flow for ischemic heart disease, a great review of different imaging modalities https://t.co/FvVUfr7AV9
@JACCJournals
jacc.org
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In the OCEAN trial, patients with successful AFib ablation at least 1 year prior, aspirin was noninferior to DOAC for stroke
nejm.org
Whether successful catheter ablation for atrial fibrillation eliminates the need for long-term oral anticoagulant therapy is unknown. We conducted an international, open-label, randomized, blinded-...
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Photon counting CT dramatically improves signal-to-noise ratios by directly measures x-ray photons, instead of indirect measurement of visible light photons as with traditional CT. https://t.co/Y7KPB7e2rL
#YesCCT @JACCJournals @RonBlankstein
jacc.org
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CRISPR-Cas9 has been used in humans to reduce non-HDL cholesterol by ~50% (also reduced HDL by ~24%)
nejm.org
Angiopoietin-like protein 3 (ANGPTL3) inhibits lipoprotein and endothelial lipases. ANGPTL3 loss-of-function genetic variants are associated with decreased levels of low-density lipoprotein cholest...
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Cardiac Rehab continues to be one of the least utilized Class 1 recommendations in all of Cardiology
ahajournals.org
BACKGROUND: Cardiac rehabilitation (CR) reduces morbidity and mortality among individuals with heart disease. Although the COVID-19 pandemic disrupted health services, its impact on CR participation...
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Thank you and welcome home to all who served, it is an honor to work at @VeteransHealth
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Patients are people, so are doctors. Getting to know your doctor is associated with better patient satisfaction.
ahajournals.org
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PCSK9i reduced MACE in primary prevention population, RRR 25%, ARR 1.8%, NNT~ 56. $239/mo on Goodrx. 4.5 yrs f/u X 12 months of tx X 56 ~ $722K to prevent one MACE.
nejm.org
The proprotein convertase subtilisin–kexin type 9 (PCSK9) inhibitor evolocumab reduces the risk of major adverse cardiovascular events (MACE) among patients with a previous myocardial infarction, s...
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The DECAF trial, presented at AHA last week, showed that in patients with atrial fibrillation, random assignment to drinking 1 caffeinated coffee a day resulted in less AFib recurrence when compared to coffee abstinence. https://t.co/6YeRiLUi0K
@JAMA_current
jamanetwork.com
This clinical trial compares the effect of caffeinated coffee consumption vs abstinence from coffee and caffeine on recurrent atrial fibrillation.
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Concise clinical guidance from @ACCinTouch on the assessment and management of cardiac amyloidosis @JACCJournals @MKIttlesonMD @PanjrathG
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"In elderly patients with NSTEMI, routine invasive strategy does not improve primary outcomes of all-cause mortality or cardiac-related death but may reduce recurrent myocardial infarction and the need for urgent revascularization." https://t.co/5mA6hpu6nn
@JACCJournals
jacc.org
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