OTD 15 yrs ago, I started as a consultant/attending at #FrimleyCardiology. Over 15 yrs, have performed >2000 coronary angioplasties, implanted approx 750 pacemakers, seen >20000 patients in clinic, many more on the wards. Looking after patients is a privilege & always been a joy.

We’re in London with the @MillbrookMed team for the BCIS Structural Trainees Course, led by @StuartWatkins9 and Jo Shannon This morning has been packed with learning. We’ve covered aortic valve disease and a Glasgow “TAVI case-in-a-box.” There were also bite-sized TikTok-style

Selected letters in @TheWeekUK on the future of the NHS #ExchangeOfTheWeek

Chain of Thought was just the beginning. Next up: Chain of Debate. We’re going from a single model “thinking out loud” to multiple models discussing out loud. Debating, debugging, deliberating. AI becomes AIs. “Two heads are better than one” is true for LLMs too.

Forward-looking intravascular imaging. Real-time, full-color video from inside the vessel. A glimpse into microchannels, neovessels, plaque morphology — things IVUS/OCT cannot see. Game changer for CTO PCI? Or just another beautiful solution searching for a problem?

Great debate in #EHJ 📣 Should transcatheter aortic valve implantation be performed in non-surgical centers? Read more 👉 https://t.co/tPOJxJg2Kg @RoccoMontone @ehj_ed

Our annual report of the UK heart attack register, #MINAP @CardiacAudit shows an 84 mins additional delay in Symptom-To-Balloon times for self-presenting people compared with ambulance direct admissions. ▶️Call the emergency medical services if you have symptoms of #heartattack

Of >105,000 participants with 30-year follow-up, only 9.3% achieved healthy aging (age 70, w/o any chronic diseases). Their diet was significantly associated with this outcome🧵 @NatureMedicine

It’s clearly time to allow patients access to TAVI in large non surgical centres with a complex pci service, excellent radiology & vascular surgery? If they are allied with a local established TAVI centre who can proctor & share mdt… what is the barrier?

Bailout Cardiac Surgery saves life of 1/1000 patients undergoing TAVI. How many patients die waiting for TAVI/SAVR (or not being proposed Tx)? It is time to discuss criteria for TAVI centers without cardiac surgery onsite. https://t.co/PS9oF95Vhh @GACIntervention @JeunesGACI

Totally agree Eric…. I have been making this argument for 5 years in UK …. We should set professional standards & then facilitate this advance? @bcis @mmamas1973 @DrPeterOKane

Greatly enjoyed the participation during TCT 2024 in Washington DC.@FHFT_Research @crfheart @surreyHEART @tblho #TCT24 @CtoEuro @MaanyaRathore @BCIS_uk @Translumina_in @cordis

Enjoyed this analogy by @esutherland272. If AI is a tap, then data is the water that flows through it, & pipes are the infrastructure. Need all 3 to realise the benefits of AI #NHSAIstrategy @HealthFdn

Lucky to be able to to dip into the @HealthFdn #NHSAIstrategy event online while on hols. 6 key strategic priorities if we are to realise full benefits of AI in healthcare @NellThornton_ Must evaluate before & after AI deployment, conventional evaluation models may not work

Who doesn’t like a good #HumanFactors acronym? 1. SBAR to handover Situation Background Assessment Recommendation, then Say Back And Repeat! 2. PACE to escalate concern Probe Alert Challenge Emergency @DrRobgalloway @clinedFHFT #CathLabHumanFactors

Thank you @DrRobgalloway for a superb training day on #HumanFactors. Invaluable lessons on communication, teamwork, leadership/followship from the pub crawl, local takeaway & more! @clinedFHFT

In what kind of global climate have your family members lived, and how will they live in future? What legacy would you like to leave them? Fantastic tool by NASA: enter names and birthdays of your loved ones to get their personalised climate timelines! https://t.co/Vr2hl1OTDY

Thank you Alan. Delighted to see you on the mend 🙏🏽

My mum’s book group read @DrMichaelMosley’s Just One Thing recently and one of them produced this summary of his brilliant, sensible, achievable advice (that we could all benefit from following!) #MichaelMosley #RIPMichaelMosley

Preventive stents for "vulnerable" plaque made a big splash at the #ACC2024 The PREVENT trial is an interesting and bold study. But. But. It's just a beginning. My thoughts are up on @theheartorg https://t.co/gTPIeqr34K

Just finished this amazing book on #PatientSafety by @philaberry. Up-to-date, gripping & covers a lot of ground. Essential reading for all involved with patient care & safety. Will read this many times! Henrietta, Can I send you a copy? @PSCommissioner #GoldenThread #HappyEaster