Such a cool demonstration of what sinus rhythm, atrial fibrillation and atrial flutter ACTUALLY look like #MedTwitter x.com/Cleavon_MD/sta…

To everyone in my life thank you for putting up with me endlessly playing traitor joe on repeat while studying for the The Royal College. I promise I’ll slow down now.

#NEW: Data from ICES shows the following postal codes in Toronto have the highest rates of population with 1 vaccine dose: 1. St. Clair & Rosedale (22.4%) 2. Forest Hill (22.1%) 3. Forest Hill South (22.0%) Lowest: Jane & Finch (5.5%)

1/6 In James Herrick's original description of acute MI in 1912 he wrote that "the importance of absolute rest in bed for several days is clear." This admonition was meant to reduce stress on a necrotic wall and mitigate catastrophic rupture. pubmed.ncbi.nlm.nih.gov/6350634/

I can't wait to see how the results change practice. The trial is led by unstoppable co-PIs Benjamin Hibbert and rebecca mathew. Thanks to Emilie Belley-Côté, MD, PhD @DiSantoPietro Lee_Sterling Laura Goodliffe Baylie Morgan Zandra Koopman Shannon Fernando Kwadwo Kyeremanteng Jeffrey Marbach Trevor Simard

🧵Cardiogenic shock after acute MI (AMI-CS) has high in-hospital mortality. But what about long-term outcomes? This matters as much to patients. Our new JACC Journals paper (co-led by Lee_Sterling) looked at long-term outcomes in AMI-CS. OPEN ACCESS: sciencedirect.com/science/articl…

Incredible thanks to Shannon Fernando Benjamin Hibbert Peter Tanuseputro rebecca mathew and everyone else on our co-investigator team for all of their support, and expertise to see this project through from start to finish!

Long-term outcomes of cardiogenic shock after AMI (AMI-CS) are unknown. In this population-based study, 1-yr mortality among AMI-CS pts was 40.9%. Among survivors to discharge, 42% required increased support at home from baseline. bit.ly/3Z26wcD #JACC #CardioTwitter

Happy to share a practice update tinyurl.com/ywbd8ejh highlighting key findings from our recent JACC Journals publication with Shannon Fernando et al on long term (years) in terms of mortality and morbidity

Simon Parlow presenting the design and rationale of the #DOREMI2 study evaluating inotropes vs. placebo in cardiogenic shock #VASC23

In the DanGer trial the primary outcome is death at 180 days. Composite safety outcome is bleeding/vasc injury/device malfunction/damage to AoV/sig hemolysis. What will the trial show at ACC24? Lets see if we can guess...

DanGer Shock! The first temporary mechanical support device shown to reduce mortality in patients with cardiogenic shock but there is an increased risk of complications. Shashank Sinha, MD, MSc, FACC, FAHA, FHFSA Shelley Zieroth Jason N. Katz Holger Thiele Abdulla A. Damluji, MD, PhD Alex Truesdell Michelle Graham

Understanding long-term outcomes in cardiogenic shock survivors is an important area of future research, and our new ICES paper looks at mental health outcomes in this population. Just published in Intensive Care Medicine. 🔓rdcu.be/dGDlC link.springer.com/article/10.100…

#Cardiogenicshock is associated with high morbidity/mortality but little is known about associated costs. Our analysis of 9,789 AMI-CS patients in Ontario reveals SIGNIFICANT associated cost - both in hospital and post discharge JACC Journals rebecca mathew Shannon Fernando

AMI-CS is associated with significant health care costs, both during the index hospitalization & following discharge. To optimize cost-effectiveness, future therapies should aim to reduce disability in addition to improving mortality. bit.ly/3zox6Uy #JACCAdvances #cvAMI

Sharing what we hope is an important paper in #SHOCK out today in NEJM Evidence by Richard Jung (who just matched to cardiology!). Prognostic Factors Associated with Mortality in Cardiogenic Shock — A Systematic Review and Meta-Analysis | NEJM Evidence evidence.nejm.org/doi/full/10.10…

Mortality in cardiogenic shock may exceed 50%. In this meta-analysis of 160 studies, Jung et al. identified several modifiable and non-modifiable patient-, presentation-, and procedural-related prognostic factors associated with early mortality. 🔗 eviden.cc/4fa9kLH

🥸8️⃣ Cardiac ICU & Aging: Specialized care for older patients Circulation Sean van Diepen Mauricio G. Cohen MD Full link: ahajournals.org/doi/full/10.11…

EXCITED To share our publication on the clinical Deployment of Real-Time LVEF estimation during coronary angiogram in NEJM AI ! CathEF, a deep learning model integrated into PACS-AI (pacsai.co), estimates left ventricular ejection fraction (LVEF) in real time from