⬆️LVAD speed may impact RV function via septum ⬇️LVAD speed may impact RV function via afterload 🚨Excellent study of RV physiology using PV loops by Steven Hsu. PAPi as the best surrogate for RV-PA coupling? Ryan J Tedford MD The ISHLT JHLT Michelle Kittleson MD PhD

Exciting new RV #PVloop analysis in #LVAD patients w conductance catheter. Link: jacc.org/doi/10.1016/j.… Congrats to Dr. Mickey Brener MD MS and all involved! #pvloops #hemodynamics #heartfailure #mcs

Happy Heart Month and National Women Physicians Day tomorrow! Proud of our Johns Hopkins Cardiology HF/Transplant team this week performing 5 heart transplants in 7 days! Kudos to Antonio Polanco, MD Chetan Pasrija Ahmet Kilic and our multiD teams! Nisha Gilotra Steven Hsu @EdKasper3

Novel insights into the prevalence of intrinsic RVD and the importance of IVS and summed RV afterload in the RV-PA coupling during LVAD support. jhltonline.org/article/S1053-…

Come join us at our session tomorrow. Looks of RV discussion in different disease phenotypes grounded with representative cases. Ryan J Tedford MD

Pressure-volume loops uncover occult RV dysfunction & ↓ reserve in LVAD, w/ PAPi as potential surrogate; ↓septal contraction 2/2 LV unloading a possible mechanism based on echo septal strain Paul Scheel, Steven Hsu, Johns Hopkins Cardiology 🔗 jhltonline.org/article/S1053-…

Check it out! We loved doing this work and continue to do so. Many insights to be gained from PVL and correlation with clinical variables to try and bring to the broader LVAD patient community

Two posters at her first The ISHLT! Our superstar MUSC Cardiology tMCS coordinator Kaylen is truly changing what’s possible: elevating patient care and research! Jennifer Hajj, RN @Brian_Houston12 Anthony Carnicelli, MD FACC Jeffrey Yourshaw Lucas Witer Arman Kilic

Why does late RHF occur post LVAD? LVAD unloading diminishes septal contraction, which weakens RV contractility. Coupled with persistent RV afterload, it leads to RV-PA uncoupling in the LVAD. Ryan J Tedford MD @Brian_Houston12 Navin Kapur Jon Grinstein MD Mark Belkin

Chetan Pasrija and I performed the first DCD heart transplant Johns Hopkins Medicine, which also happened to be our 25th heart txp of 2024! NRP technology was used to procure the organ from a DCD Donor 1100 miles away! Kavita Sharma Johns Hopkins Cardiology #dcd #hearttransplant

First DCD heart transplant performed last night Johns Hopkins Medicine by Chetan Pasrija Antonio Polanco, MD! Milestone moment for Johns Hopkins Cardiology and Johns Hopkins Cardiothoracic Surgery ! Incredible dedication and efforts by all team members. Ahmet Kilic Steven Hsu Nisha Gilotra Joban Vaishnav Paul Scheel

Amazing work that will increase the donor pool for patients waiting on scarce organs ! Huge shoutout to Antonio Polanco, MD Chetan Pasrija - absolute studs in the heart failure program for their dedication and tireless efforts !

Fantastic experience being a faculty member with the incredible Nir Uriel, MD MSc and @AlbertHicksMD at the Abbott Cardiovascular Advanced MCS Topics course in NYC 🫀👩‍⚕️🌆 I always learn so much and am so inspired by my colleagues across the country!

#TipsForNewDocs Phrases to avoid on rounds: Gentle diuresis (be specific!) Soft blood pressure (can it be hard?) Making good urine (what's bad urine?) Specific assessments and goals/targets = better care. #kittlesonrules

Excellent study (congrats Mickey Brener MD MS et al) with and eloquent editorial summarizing such an important study. Much to be learned based on our prior results along with these and looking forward to more work in this field. Steven Hsu

#TipsForNewDocs You’re never too important to pre-round. Almost 20 years from training, I still review labs & notes from RNs & consultants before team rounds. If you have an idea of the plan, rounding is more efficient and you can spend more time teaching. #kittlesonrules

Kicking off the first wet lab of the academic year with a combined plastic surgery / cardiac surgery discussion on sternal / wound closure. Big shout out to Dr. Lily Mundy of plastics and Dr. Hamza Aziz of cardiac for lending their expertise. Johns Hopkins Cardiothoracic Surgery

#TipsForNewDocs Before ordering a test, have a plan for a normal, abnormal, or indeterminate result. If this thought experiment demonstrates the test won’t change management, or if you don’t know how to interpret/act upon all possible results, don’t order it. #kittlesonrules

#TipsForNewAttendings Trainees often ask questions like “Do you want increase Lasix today?” My favorite response: “What do YOU want to do?” Encourage them to make the decisions- prepare them for when you’re no longer their safety net! #kittlesonrules