We also note this shows >80% of in hospital cardiac arrest in the US occur outside of general medical floors -- which may explain the residual hospital-level variability despite broad use of rapid response teams across hospitals.

This is important since quality metrics can be confounded by who has events to start with -- the risk is that hospitals that are bad at prevention of IHCA might look better at treating them since the preventable cases are more likely to survive to discharge.

Their new important work uses GWTG linked claims data to evaluate the relationship between incidence of cardiac arrest and survival after cardiac arrest in acute care hospitals in the US

In this week's @JACCJournals , I was delighted to collaborate with @jones_daza from Austin Hospital in Melbourne Australia, to comment on a new original contribution from @saketgirotra and @Rohit_nathani1 .

RT @oziadias: When you walk into the ER, you could get a doc:. 1. Fresh from a week of not working. 2. Tired from working too many shifts….

RT @EricTopol: Agentic A.I. vs experienced physicians for diagnosis of > 300 complex diagnostic cases:.4-fold higher accuracy and 20% lower….

RT @Heart_SCCT: SCCT is proud to announce the 2025 CTRA winner - Dr. @CianPMcCarthy - for his groundbreaking work on AI in atherosclerotic….

RT @CianPMcCarthy: Now in @JACCJournals, @ThijsEijsvogels and colleagues find that most exercise induced troponin elevation is not explaina….

RT @ACCinTouch: Enjoying Dr. @MeaganWasfy's talk on CPET Interpretation? Don’t miss this insightful review she co-authored in #JACC. It off….

Massachusetts health insurers seeking 13.4% rate increases.

RT @YJelwan: 🫀CVD mortality has been on the rise since 2010. We must shift our approach to health innovations from WHAT can be done to HOW….

RT @JonPHeart: Missed the deadline? Plot twist: You didn't!.Deadlines extended! 🗓️. #AHA25 & #ReSS25 abstracts now due 6/9 at 10am ET. Awar….

From 2022 Medscape Cardiologist Lifestyle, Happiness & Burnout Report:. "Too many hours" at work relatively is low as cause of physician burnout. Bureaucracy, lack of respect, lack of control/autonomy are more important.

“There’s no reason why outcomes should be getting worse,” lead author Jason H. Wasfy, MD , told TCTMD. “There are new drugs available every year. There are new procedures available. So, why should outcomes be getting worse? It suggests something wrong with the healthcare system.”.

RT @murugiah_k: We provide context and summarize the change in recommendations for the use of MCS devices in the management of ACS in the 2….

Working with John Hsu from @MonganHealthPol we know show using death certificate data that the problem might be patients are dying at home. This suggests potential health system distress that has been persistent for years after 2020:.

Persistent decreases in MI incidence -- at least measured incidence from acute hospital data -- have been shown throughout the world, with similar effect estimates shown in meta analyses:

We then worked with @andrewoseran and others to assess this with health system level data -- and found that many hospitals were seeing fewer STEMIs and other emergencies in 2020:.

The latest in 5 years of work on the cardiac consequences of health system distress. I first noticed "missing STEMIs" as the CCU attending in March 2020 and was interviewed about it:.

At-Home Heart Attacks and Cardiac Deaths on the Rise Since COVID-19 Pandemic .