For decades, beta blockers have been used routinely after heart attacks.
A new randomized trial in people with preserved pump function (EF>50%) shows they're unnecessary, unhelpful
nejm.org/doi/full/10.10… NEJM #ACC24

A wearable cardioverter-defibrillator is a device used by pts at risk for SCD. Although CR is a class I recommendation in pts w/CVD, is it safe for those w/ WCDs? Dr. Rohrer et al. examine this question in this article: bit.ly/43f89Wu Daniel Scherr Martin Manninger

Can #exercise reverse atherosclerosis? Perhaps.

Small randomized study of 6 mos high-intensity interval training in people with heart disease reduced plaque volume and slowed progression of atherosclerosis European Society of Cardiology Journals: academic.oup.com/eurjpc/article…

Today with my IM Residents:
Me: Do you know we have a cardiac rehab?
Them: 5 hands of 40 go up🖐️🖐️🖐️🖐️🖐️
Me: Do you know where Cardiac rehab is?
Them: No hands go up

The NNT with #CardiacRehab is 37, to prevent 1 death (vs 94 with statins or 108 with ACEI).
REFER to CR please!

Synthesis of the currently available meta-analyses suggests that regular exercise may be beneficial for a broad range of functional tasks improving health-related quality of life in patients with PAD academic.oup.com/eurjpc/article… Massimo Piepoli #EJPC

The best time to exercise?

Any time you can.

“The current state of research provides evidence neither for nor against a specific time of the day being more beneficial, but provides evidence for larger effects when there is congruency between training and testing times.”…

About 1 in 3 adults do not get enough sleep.

Shortened sleep is closely linked to higher rates of heart disease.

Here is what you need to know.

📕Make Sure To Bookmark✅

🧵👇

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And another interesting image.
Non-cardiac patient.

What social media tells you to focus on:
-ice baths
-supplements
-sauna
-a new way to “detox”
-lectins
-anecdotes

What you should actually focus on:
-VO2 max
-strength
-Metabolic health
-sleep
-ApoB
-Blood pressure
-mental health

Apical hypertrophic cardiomyopathy (AHCM) is a rare phenotypic variant of #HCM .

In this CV Case Journal report, we introduce the “blueberry-on-top” phenomenon, a characteristic myocardial strain finding on TTE, to help identify AHCM cases. bit.ly/49DNa1Y

Sex Differences in Association of Physical Activity With All-Cause and CV Mortality.
📝 Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 et al.
“Women compared with men derived greater gains in all-cause and CV mortality risk reduction from equal doses of leisure-time PA.” jacc.org/doi/10.1016/j.…
JACC Journals

Exercise should be a vital sign at the doctor’s office.

Please take a 👀 at our ahead-of-print publication in Circulation. The 📝 was led by Sarah Hoedemakers and Nicola Riccardo.

ahajournals.org/doi/abs/10.116…

Interesting editorial by Henning Wackerhage on the benefits of muscle-building for reducing fat mass

physoc.onlinelibrary.wiley.com/doi/abs/10.111…

#Thursday
#LeapDay
#QuotefortheDay

“Life is peaks & valleys. All in passing moments. Humility & gratitude keep us grounded. Faith keeps us from hitting low. May you find acceptance & peace in both. May you find true friends through these times.”

John P Erwin III MD FACC Tony Manci MS…

We often frame exercise as an “intervention”.

But the reality is, our (increasingly) sedentary lifestyles are the real intervention.

We were made to move.

jamanetwork.com/journals/jama/…

Morning read. Important issue.

Prehab? Rehab? Both? Exploring interventions to alleviate disuse‐induced muscle atrophy and anabolic resistance in older adults - LeGood - The Journal of Physiology - Wiley Online Library physoc.onlinelibrary.wiley.com/doi/10.1113/JP…

As a cardiologist here is the mistake I see way too many people make when it comes to heart disease.

📕Make Sure To Bookmark✅

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Should impaired oxygen uptake with exercise PHT be a trigger for AVR in patients with aortic stenosis?