Matt Kelham
@matt_kelham
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Cardiology Registrar at Barts Heart Centre. Hobby jogger.
London, England
Joined November 2010
Invasive angiography in post CABG patients with NSTE-ACS is challenging and hasn’t been shown to improve outcomes. Thanks to @NEJMEvidence for letting us explain why we need a dedicated RCT to improve outcomes in this group. @Bhcintervention @BartsIntervGrp @TheBHF
𝗧𝗼𝗺𝗼𝗿𝗿𝗼𝘄'𝘀 𝗧𝗿𝗶𝗮𝗹 Should Patients with Prior Coronary Artery Bypass Surgery Who Present with Non–ST-Elevation Acute Coronary Syndromes Undergo Invasive Angiography?
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I'm thrilled to share that we've successfully completed randomization of 1,104 patients with severe coronary artery disease in the #P4 trial, comparing CT-guided PCI vs. IVUS-guided PCI. This marks a major milestone in one of the most ambitious trials in interventional
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🚨Delighted to share that our paper evaluating the UK interventional cardiology training programme has been published! 📄 https://t.co/iFmZDtJTsQ We provide quantitative data on procedural volumes and trainee confidence across a range of interventional techniques.
icrjournal.com
Background: Interventional cardiology (IC) is a competitive and oversubscribed subspecialty. The UK cardiology programme is currently in a state of transition of curricula, and concerns have
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Fantastic evening discussing PCI complications with trainees from Barts, King’s College, Royal Free, St George’s and St Thomas’! Thank you to @aprmedtech for supporting the event and the faculty @sundeepkalra ,@DrNileshPareek @krishnaraj82 , Simon Wilson.
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Join us this evening for this month's Education Forum 📹Imaging Excellence: Enhancing PCI Quality With IVUS 🗓️ Tuesday 10th June 🕖 19:00–20:00 🔍 Topic: Case-based discussion on how IVUS has influenced clinical decision-making in PCI. 🎙️ Speaker: Dr Matthew Kelham 🧑🏫
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Really important editorial in @Heart_BMJ on the state of cardiology training at the moment in the UK, by @JonnyBatty @poktintang & @kazemr. #CardioX #cardiotwitter #cardiology
@TheBJCA @BJCAstarter @BritishCardioSo
https://t.co/hHiBfARpIn
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Delighted to have randomised our 50th P4 trial patient here at Barts. #CT4PCI. Great teamwork and privileged to be part of the trial led by @coreaalst and @ColletCarlos driving the future of PCI. Roll on the next 50!! @DrPeterOKane @yadersandoval @DrNataliaP @jcspratt @BCIS_uk
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Fantastic to see this work out today after a huge amount of work from @OllyBrown @cfcamm @DrMarkWestwood1 🚨Despite being the longest training program in the world, 87% of trainees feel they require a post-CCT fellowship to be competent as a consultant https://t.co/4JZWiFcfPW
The training of resident cardiologists needs major reform to meet the needs of patients, say @BritishCardioSo, @TheBJCA and 12 other organisations representing CV health professionals in a statement published in Heart today: https://t.co/HMQfQtCJzj
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Well done @matt_kelham 👏 Further evidence of clinical benefit of CTCA in this group. Definitive trial starting to confirm this! Interested parties let us know.. @ColletCarlos @DrKeeble @VijayKunadian @ncurzen @danmckenzie73 @krishnaraj82 @jcspratt @DrNataliaP @ammozid
Thanks to @CircIntv for publishing! 3 year outcomes of BYPASS-CTCA suggestive of ongoing MACE benefit of CTCA prior to angio in CABG pts, which we hope to prove in a larger @NIHRresearch funded multi-centre trial coming soon...@BartsIntervGrp @mdstbarts @BartsCVCTU @QMULWHRI
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Really interesting study. CCTA certainly makes graft evaluation easier when there are no graft markers.
Is CT Coronary Angiography prior to invasive coronary angiography in patients with prior bypass surgery of benefit? 3-year results from the BYPASS-CTCA Trial @matt_kelham @AnneMarieBeirn1 @BhcIntervention #cardiotwitter #AHAJournals
https://t.co/9v03sV2qST
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Is CT Coronary Angiography prior to invasive coronary angiography in patients with prior bypass surgery of benefit? 3-year results from the BYPASS-CTCA Trial @matt_kelham @AnneMarieBeirn1 @BhcIntervention #cardiotwitter #AHAJournals
https://t.co/9v03sV2qST
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Thanks to @CircIntv for publishing! 3 year outcomes of BYPASS-CTCA suggestive of ongoing MACE benefit of CTCA prior to angio in CABG pts, which we hope to prove in a larger @NIHRresearch funded multi-centre trial coming soon...@BartsIntervGrp @mdstbarts @BartsCVCTU @QMULWHRI
Is CT Coronary Angiography prior to invasive coronary angiography in patients with prior bypass surgery of benefit? 3-year results from the BYPASS-CTCA Trial @matt_kelham @AnneMarieBeirn1 @BhcIntervention #cardiotwitter #AHAJournals
https://t.co/9v03sV2qST
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Pleased to announce the successful completion of the 1st CT-guided #CT4PCI patient in the P4 trial at Barts. Excited to help prove the potential of CT planning to improve patient care. @ColletCarlos @CoreAalst @DrPeterOKane @yadersandoval @DrNataliaP @DrFranPugliese @jcspratt
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Just published - The first study to demonstrate that dietary nitrate may reduce restenosis after PCI & improve outcomes Thanks to @ProfAhluwalia for conception and @BartsIntervGrp @QMULWHRI @ImperialCTU @BartsCVCTU @hect2701 @AsadKShabbir @Bhcintervention in delivering this study
Inorganic nitrate to reduce in-stent restenosis in patients with stable coronary artery disease: an RCT After PCI for stable CAD, once-daily oral inorganic nitrate treatment was associated with a significant decrease in both in-stent and in-segment LLL https://t.co/3ChjoHZs1P
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Kicking off day 2 with the much anticipated Young Investigator session and a great talk by Dr Matthew Kelham on using CTCA to predict the need for ICA in patients with prior CABG @JamieKitt2 @andyjswift @matt_kelham #BSCIimaging2024
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Presented at #ESCardio: Among older patients with non–ST-segment elevation myocardial infarction (MI), an invasive strategy did not result in a lower risk of cardiovascular death or nonfatal MI than a conservative strategy. Full SENIOR-RITA trial results: https://t.co/ZhKdVsJrhs
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I’m not sure people are prepared for the magnitude of vibe shift if English Millennials get both a massive Tory defeat and then England winning the Euros within ten days.
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Was a real privilege to attend this fantastic course. Hope to put everything learned into practice @BartsIntervGrp soon. Thanks @Bhcintervention @ColletCarlos and rest of faculty!
🌟It’s a wrap! A heartfelt thank you to everyone who attended the 6th edition of The CT Guided PCI! 🙌 Your enthusiasm and the support from our incredible sponsors made this year's meeting an absolute success: bigger and even better than ever! 💥💫🚀 The energy and insights
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Thanks to @FBeerkens and @DLBHATTMD for their thoughtful editorial of our meta-analysis with clear conclusions. Management of these patients needs good clinical judgement until a powered RCT provides more data. https://t.co/djVHmguwnF
@Bhcintervention @krishnaraj82 @ehj_ed
academic.oup.com
AbstractBackground and Aims. A routine invasive strategy is recommended in the management of higher risk patients with non-ST-elevation acute coronary synd
NSTEMI is difficult to manage in prior CABG pts given their high-risk profile, ambiguous culprit lesions & worse clinical outcomes. Read our thoughts on a meta-analysis of a routine vs. selective invasive approach in this challenging population @DLBHATTMD
https://t.co/XhFw74fR3Z
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