acc.org/Latest-in-Card…

Dear common flower, that grow’st beside the way, 
Fringing the dusty road with harmless gold, 
          First pledge of blithesome May, 
Which children pluck, and full of pride, uphold,

––James Russell Lowell
#PoemADay

poets.org/poem/dandelion…

Switching to a potassium based salt has been shown to:

⬇️ All Cause Death 11%
⬇️ Vascular Death 13%
⬇️ Major Cardiovascular Events 11%

Small change. Big difference.

We do hard things.

So we can do hard things.

So do hard things.

Almost everything of importance in my life I have done slowly.

The key was grinding away every single day.

It was never about the 'Big Push' on one single day.

It was always about the 'Little Efforts' made every single day.

Consistency wins the game.

'Little Steps' win.

In my experience

The number one cause of 'White Coat High Blood Pressure' is....

High Blood Pressure.

How is vasospastic angina diagnosed?
(1) Nitrate-responsive cp with
🫀Rest Angina/Occurs from midnight to early AM
🫀Exercise tolerant (but worse in the AM)
🫀Precipitated by hyperventilation
🫀Improved by CCBs but not beta-blockers
#CVBoardPearl #MedTwitter (1/2)
(PMID 26245334)

Be humble. Be teachable. The universe is bigger than your view of the universe. There's always room for a new idea.

Beautifully visible ASD with left to right shunt (💡due to contrast bolus timing for systemic / arterial visualization) #YesCCT

Spot the diagnosis
#POCUS #echofirst #FOAMcc

The data on alcohol seem clear: 0 is better than any and 2 drinks per week is the max (for adult non-alcoholics) beyond which some negative impact is observed. Whether this is direct or indirect via perturbed sleep/microbiome is unclear. Details: hubermanlab.com/episode/what-a…

The 2023 ACC/AHA guidelines have elevated the role of catheter ablation as the initial treatment of AF.

As a topic that has been near and dear to my heart for the past 10 or so years, it’s fantastic to see the field evolve towards offering more effective treatments earlier

I've practiced dermatology for over 30 years.
The greatest truth:
The pigment of skin, melanin, is located in the epidermis.
That layer is <1mm thick.
Operating on the skin of 1,000s of people of all colors, once I cut through that thin pigmented layer,
EVERYONE LOOKS THE SAME.

We give because someone gave to us.
We give because nobody gave to us.

—Alberto Ríos

poets.org/poem/when-givi…

#Thanksgiving

Is pharmacist-managed #hypertension in the United States cost-effective? Pharmacist prescribing interventions to improve BP control resulted in significant cost savings over a 30-year time horizon. Find out more and read the journal scan here: bit.ly/47I5EwR #cvPrev

#ImageOfTheWeek was submitted Sriram V. Veeraraghavan, Bharath Raj Kidambi and Narendhiran Pandurangan (SRM Medical College Hospital and Research Centre, Chengalpattu, Tamilnadu, India).

A teenage boy presented with worsening shortness of breath and palpitations over the last…

Happy 90th birthday to ASE’s founder and first president, Harvey Feigenbaum, MD, FASE! ❤️

You have touched the lives of so many and your impact on the field of echocardiography is immeasurable. We hope you have a wonderful birthday.

Original Article: Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (SELECT trial) nej.md/465pj91

Editorial: SELECTing Treatments for Cardiovascular Disease — Obesity in the Spotlight nej.md/47nketM

#AHA23 AHA Science

Hospitals must be protected. Children must be protected.

We are calling for an immediate humanitarian ceasefire.