If you are a cardiologist,

What proportion of your assets are NOT tied up in your primary home or your traditional retirement accounts (generally not available until age 59 1/2)?

And enter types of assets in comments (private equity, brokerage account, real estate, etc)

This is great Ryan J Tedford MD

I’m just shocked (pun intended) that we still believe there is equipoise to justify doing this study.

But as we have published before, only 10% of patients in the U.S. with cardiogenic shock get PA catheter guidance.

Driving without headlights.

MUSC Cardiology’s Anthony Carnicelli, MD FACC is our CICU director and site PI for the PACCS Trial - a randomized study of PAC in Cardiogenic shock - designed the right way. #CSWG Jan Griffin Vishal Rao Chakradhari Inampudi Jeffrey Yourshaw Michele Esposito Gregory Jackson Jessica Atkins

#heartfailure patients want their cardiologist to initiate conversations about their prognosis, dying, and goals of care. This often will build a greater degree of trust between the patient and the cardiologist. Just be honest - tell them the bad and the good. #PalliativeCare

I’m overwhelmed by the amount of outreach I’ve received about this article.

When my husband asked why I continue to write, I said it’s so that I (WE) feel a little less alone.

I hope you feel seen.

You are good enough.

#pedsICU JAMA

jamanetwork.com/journals/jama/…

1/. Ten projects from “VAD WEAN” Cardiac Recovery Registry (50 sites worldwide, >600 HF pts) being presented @ #ISHLT2024 . Exciting results:
⁃Long-term “Survival Free of VAD/Tx post-VAD weaning” equivalent to propensity matched “ISHLT Registry post-Transplant Survival”

#ISHLT2024

🔥 Session on #PrimaryGraftDysfunction

🎯Incidence increasing
🎯1-year mortality remains high (41%)
🎯pre-op MCS, RRT & amiodarone use still prevalent risks
🔮consider newer risk factors inc #DCD , donor Mx, vasoplegia

Lauren K. Truby Marisa Crespo Leiro

Shock belongs The ISHLT! #CSWG team has arrived! Check out the ISHLT 2023 shock guideline documents; substantial grant funding available Thomas Hanff, MD MSCE. JHLT Manreet Kanwar Ulrich Jorde Khue Ton Jaime Hernandez-Montfort Maryjane Farr MD MSc, FACC FAST FHFSA FAHA Anthony Carnicelli, MD FACC Navin Kapur

Multiple responses here suggesting “I’ll retire when I no longer enjoy my work.”

Makes sense, but are all actually prepared to retire when that day comes?

What if u r 50 yo, before u can take distribution from traditional tax deferred accounts? Health insurance? Kids college?

Excellent Tweetorial by Tony Breu describing #SGLT2i effects on ameliorating anemia

Curiously, similar observations w #ARNI sacubitril/vasartan in #PARADIGMHF

Might many effective HF therapies reduce hepcidin & improve systemic iron utilization?

sciencedirect.com/science/articl…

👇🏾

#ISHLT2024

🔥cell-free DNA:

🧬biomarker of allograft injury
🧬 predictor of long term outcomes
🧬 ?earlier diagnosis of #AMR (+DSA) vs consensus AMR dx

Wonderful talk by Agbor- APO Lab (Applied Precision Omics)

If you are a cardiologist,
when are you targeting retirement?

New AHA statement published on Patient-Centered Adult Cardiovascular Care.

✍🏽 Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 Martha Abshire Saylor BiykemBozkurt Katherine Di Palo Angela Durante Ruth Masterson Creber PhD, RN, FAHA, FAAN Modele Ogunniyi, MD, MPH Fatima Rodriguez 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡

📖 Circulation

Interdisciplinary heart failure clinics are effective for GDMT titration, but multifactorial interventions may be necessary for further optimization and initiation of GDMT

Interventions for Optimization of Guideline-Directed Medical Therapy jamanetwork.com/journals/jamac…

JAMA Cardiology

HFrEF ↘️↘️↘️median survival 7-18 years

GDMT ↗️↗️↗️ median survival:

✅ ARNI 2-3 yrs (1-2 yrs vs ACEI or ARB)
✅ BB 3-4 yrs
✅ MRA 2-3 yrs
✅ SGLTi 1-2 yrs

Clinical benefits non-overlapping, incremental, additive

Quadruple >>>triple>>>double

Fast >>>>slow

Now>>>later

Want a quick recap of LBCT at American College of Cardiology #ACC2024 ?

👀Check out TCTMD for succinct & helpful coverage of key findings w/master educator #AjayKirtane ColumbiaCardiology & ✨ kelly axsom, ✨Rasha Al-Lamee & me 🙈 Mount Sinai Fuster Heart Hospital

👇🏽👇🏽👇🏽 tctmd.com/videos/acc-202…

🔥 Great day in #Rome dedicated to the #GDMT implementation in 🇮🇹 under the umbrella of #ITAHFA with #KOL
as Marco Metra Michele Senni #Agostoni #Mortara
We shared data from our #HF center in Milan achieved very ⬆️% of optimization
‘Don’t delay start today’
🍀Roberto Franco Enrico Pedretti

The Top 24 Most Beautiful Shots In Cinema History:

1/24 Blade Runner 2049

Best aHF team in the world. Supported by the best Tx ID team in the world. Couldn’t imagine doing what we do without camwolfe and company!

Recharging after a phenomenal #ACC2024

Sharing some of my thoughts on EMPACT-MI from the deep dive session with Javed Butler

Adrian “WE NEED RCTS!” Hernandez Schuyler Jones Duke Clinical Research Institute Duke Heart Anu Lala-Trindade Josephine Harrington, MD Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦