Matt Lander (@mattlandermd) 's Twitter Profile
Matt Lander

@mattlandermd

Heart Failure & Transplant Cardiologist, @AHNtoday. Avid @RedSox and @BCEagles fan. Dad of 2. Tweets are my own.

ID: 1365770257

calendar_today20-04-2013 00:45:09

212 Tweet

320 Followers

294 Following

Waqas Akhtar (@drwaqasakhtar) 's Twitter Profile Photo

Heart Allocation Strategies From Around the ๐ŸŒ ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ซ๐Ÿ‡ท๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ช๐Ÿ‡ธ๐Ÿ‡จ๐Ÿ‡ฆ๐Ÿ‡ฉ๐Ÿ‡ช The ISHLT #ISHLT2024 Carine Jasseron ๐Ÿ‡ซ๐Ÿ‡ท Urgency: VA ECMO and LVAD complication commonest used Scoring systems use: Bilirubin, eGFR, Alb, Na, BNP, post transplant survival Most do not prioritise sensitised

Heart Allocation Strategies From Around  the ๐ŸŒ ๐Ÿ‡ฌ๐Ÿ‡ง๐Ÿ‡ซ๐Ÿ‡ท๐Ÿ‡บ๐Ÿ‡ธ๐Ÿ‡ช๐Ÿ‡ธ๐Ÿ‡จ๐Ÿ‡ฆ๐Ÿ‡ฉ๐Ÿ‡ช <a href="/ISHLT/">The ISHLT</a> #ISHLT2024 

<a href="/carine_jasseron/">Carine Jasseron</a> ๐Ÿ‡ซ๐Ÿ‡ท

Urgency: VA ECMO and LVAD complication commonest used 

Scoring systems use: Bilirubin, eGFR, Alb, Na, BNP, post transplant survival

Most do not prioritise sensitised
Waqas Akhtar (@drwaqasakhtar) 's Twitter Profile Photo

Current state of multi-organ transplant The ISHLT #ISHLT2024 Maryjane Farr MD MSc, FACC FAST FHFSA FAHA ๐Ÿ‡บ๐Ÿ‡ธ Sicker patients leading to ๐Ÿ“ˆ rise in kidney and liver +๐Ÿซ€transplant Outcomes better for dual transplants Inequality in access to simultaneous transplant, variation in prioritisation across ๐ŸŒ

Current state of multi-organ transplant <a href="/ISHLT/">The ISHLT</a> #ISHLT2024 

<a href="/MaryjaneFarrMD/">Maryjane Farr MD MSc, FACC FAST FHFSA FAHA</a> ๐Ÿ‡บ๐Ÿ‡ธ

Sicker patients leading to ๐Ÿ“ˆ rise in kidney and liver +๐Ÿซ€transplant 

Outcomes better for dual transplants 

Inequality in access to simultaneous transplant, variation in prioritisation across ๐ŸŒ
Waqas Akhtar (@drwaqasakhtar) 's Twitter Profile Photo

The ISHLT Maryjane Farr MD MSc, FACC FAST FHFSA FAHA Challenges with donor availability The ISHLT #ISHLT2024 Ivan Knezevic ๐Ÿ‡ธ๐Ÿ‡ฎ Only 56 countries in ๐ŸŒ provide ๐Ÿซ€ transplantation Slovenia highest 13.81 ๐Ÿซ€per million 0.07% donors per 5.7 million deaths ๐ŸŒ - need for 1 million donors/year More ๐Ÿ“ˆMarginal donors, โžก๏ธ better exchange

<a href="/ISHLT/">The ISHLT</a> <a href="/MaryjaneFarrMD/">Maryjane Farr MD MSc, FACC FAST FHFSA FAHA</a> Challenges with donor availability <a href="/ISHLT/">The ISHLT</a> #ISHLT2024 

Ivan Knezevic ๐Ÿ‡ธ๐Ÿ‡ฎ

Only 56 countries in ๐ŸŒ provide ๐Ÿซ€ transplantation 

Slovenia highest 13.81 ๐Ÿซ€per million 

0.07% donors per 5.7 million deaths ๐ŸŒ - need for 1 million donors/year

More ๐Ÿ“ˆMarginal donors, โžก๏ธ better exchange
Waqas Akhtar (@drwaqasakhtar) 's Twitter Profile Photo

The ISHLT Maryjane Farr MD MSc, FACC FAST FHFSA FAHA Paediatric ๐Ÿซ€ Tx The ISHLT #ISHLT2024 Kae Watanabe ๐Ÿ‡บ๐Ÿ‡ธ 29% UNOS hearts refused - quality, size, cross match 1/10 died on waitlist after refusal of heart ๐ŸŒ High priority - non dischargeable VAD + congenital ๐Ÿซ€ on inotropes Match: Total cardiac volume better than weight

<a href="/ISHLT/">The ISHLT</a> <a href="/MaryjaneFarrMD/">Maryjane Farr MD MSc, FACC FAST FHFSA FAHA</a> Paediatric ๐Ÿซ€ Tx <a href="/ISHLT/">The ISHLT</a> #ISHLT2024 

Kae Watanabe ๐Ÿ‡บ๐Ÿ‡ธ

29% UNOS hearts refused - quality, size, cross match 

1/10 died on waitlist after refusal of heart 

๐ŸŒ High priority - non dischargeable VAD + congenital ๐Ÿซ€ on inotropes 

Match: Total cardiac volume better than weight
Muthu Vaduganathan (@mvaduganathan) 's Twitter Profile Photo

Effects of #GDMT across Kidney Function Spectrum โœ… #BB: consistent benefit to eGFR 30 โœ… #ARNI: consistent benefit to eGFR 30 โœ… #SGLT2i: consistent benefit to eGFR 20 โŒ #SteroidalMRA: โ†“ benefit & worse safety at lower eGFR New strategies to block MR axis in HF & CKD needed!

Effects of #GDMT across Kidney Function Spectrum

โœ… #BB: consistent benefit to eGFR 30
โœ… #ARNI: consistent benefit to eGFR 30
โœ… #SGLT2i: consistent benefit to eGFR 20
โŒ #SteroidalMRA: โ†“ benefit &amp; worse safety at lower eGFR

New strategies to block MR axis in HF &amp; CKD needed!
Michelle Kittleson MD PhD (@mkittlesonmd) 's Twitter Profile Photo

#TipsForNewDocs Don't shy away from giving patients bad news- false hope is worse. Offer honest assessment of prognosis + options -> together make a plan. End with a promise: you will still be their doc even if you can't fix their disease. #kittlesonrules

Matt Lander (@mattlandermd) 's Twitter Profile Photo

Excellent article on the IRA, heart failure patients and others deserve affordable disease altering medications! The Myth of the Free Market for Pharmaceuticals | New England Journal of Medicine nejm.org/doi/full/10.10โ€ฆ

JACC Journals (@jaccjournals) 's Twitter Profile Photo

Donโ€™t Miss #JACCHF's first video issue focusing on the use of #SGL2i in patients with #heartfailure with & without #T2D! Each enhanced publication is accompanied by a video where Dr. Javed Butler talks with other authors on various studies & publications bit.ly/3Vo2FVS

Donโ€™t Miss #JACCHF's first video issue focusing on the use of #SGL2i in patients with #heartfailure with &amp; without #T2D!

Each enhanced publication is accompanied by a video where Dr. <a href="/JavedButler1/">Javed Butler</a> talks with other authors on various studies &amp; publications bit.ly/3Vo2FVS
Novi Yanti Sari (@slumberbell) 's Twitter Profile Photo

How do interventricular interactions impact ventricular function in #LVAD patientsโ“ Using #PVloops analysis, โฌ†๏ธ #LVAD speed cause: - โฌ†๏ธ #RVEDV & #SV, โฌ‡๏ธ #RVESP & #RVEDP - โฌ†๏ธ RV diastolic compliance - โฌ‡๏ธ afterload - No changes in RV systolic function ๐Ÿ“š jacc.org/doi/10.1016/j.โ€ฆ

How do interventricular interactions impact ventricular function in #LVAD patientsโ“

Using #PVloops analysis, โฌ†๏ธ #LVAD speed cause:

- โฌ†๏ธ #RVEDV &amp; #SV, โฌ‡๏ธ #RVESP &amp; #RVEDP
- โฌ†๏ธ RV diastolic compliance
- โฌ‡๏ธ afterload
- No changes in RV systolic function

๐Ÿ“š jacc.org/doi/10.1016/j.โ€ฆ
JACC Journals (@jaccjournals) 's Twitter Profile Photo

Currently in #JACCHF: Study found that increasing #LVAD speed led to larger RV EDV & SV, reduced RV ESP & EDP due to lower afterload & enhanced RV diastolic compliance. No significant changes in RV systolic function. bit.ly/4cCLnMc Nir Uriel, MD MSc Manreet Kanwar Dan Burkhoff MD PhD

Currently in #JACCHF: Study found that increasing #LVAD speed led to larger RV EDV &amp; SV, reduced RV ESP &amp; EDP due to lower afterload &amp; enhanced RV diastolic compliance. No significant changes in RV systolic function. bit.ly/4cCLnMc

<a href="/NirUrielMD/">Nir Uriel, MD MSc</a> <a href="/manreetkanwar/">Manreet Kanwar</a> <a href="/BurkhoffMd/">Dan Burkhoff MD PhD</a>
Matt Lander (@mattlandermd) 's Twitter Profile Photo

Our perspective on this interesting study of automated Impella speed changes w Amresh Raina. Manreet Kanwar Power is nothing without control: Optimizing left ventricular unloadin... sciencedirect.com/science/articlโ€ฆ

Joe Pompliano (@joepompliano) 's Twitter Profile Photo

Former Boston College lacrosse player Welles Crowther sacrificed himself to save as many as 18 people on 9/11. His story needs to be told every single year. He was a real-life superhero.

Hudson Belinsky (@hudsonbelinsky) 's Twitter Profile Photo

Jonah Rosenthal is one of the best scouts in the game, and heโ€™s an even better human being. If you can, please consider making a donation to help Jonah and his family! gofundme.com/f/support-jonaโ€ฆ

Matt Lander (@mattlandermd) 's Twitter Profile Photo

The Dumb and Dumber of the new Oligarchy. Lloyd Christmas and Harry Dunne 2.0. Destroying the government while manipulating the POTUS to shoot a free commercial for you. Pathetic!