Talking about one of my favorite topics on today’s #12LeadThursday …

New ACC/AHA/HFSA clinical guideline provides patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with #HeartFailure. Get the details in #JACC: bit.ly/38n6cPB #ClinicalGuidelines #HFrEF #CardioTwitter

Harriette Van Spall, MD MPH 🇨🇦 JACC Journals Mamas A. Mamas Tariq Ahmad MD MPH Dr Rani Khatib FESC Andrew J Sauer MD @JJheart_doc BiykemBozkurt Marat Fudim, MD MHS Steve Greene Dr.Rajiv Sankaranarayanan Khadijah Breathett, MD, MS, FACC, FAHA, FHFSA Mak Lab Anju Bhardwaj MD FACC Critical need for HF #GDMT implementation and innovation More than a decade of large gaps and little progress in use/dosing of GDMT in usual care settings for HF patients, including leading academic healthcare systems

1/ 🚨New Episode🚨 Guideline-Directed Medical Therapy in HFrEF: #5Pearls Segment 🎧 : link.chtbl.com/GDMTHFrEF Show Notes: bit.ly/3PfjlLi CME/MOC: bit.ly/CIMCME Sponsor: AMBOSS

Heart failure is more deadly than most cancer diagnoses. Let’s treat this disease with greater respect. Putting heart failure into remission means giving the disease our best fight. Carvedilol 6.25 and losartan 25 and see you next year is not our best. I’m here all day.

1/ 🚨NEW PATIENT!🚨 66 y/o M found in his home unresponsive and hypothermic. What abnormalities do you see in this EKG?

Initiation & uptitration of #GDMT in patients w/ #HF is the most important Tx to improve outcomes, morbidity & mortality. Dr. BiykemBozkurt outlines evidence & implementation strategies for #HFrEF, #HFmrEF, & #HFpEF in this new #JACCHF editor's page: bit.ly/3VUGhT8 #ACCFIT

1/ Time for #12LeadThursday! What’s the axis and do you notice anything about the precordial leads?

Some PCPs unaware of #GDMT in #HF. Calling on all societies to disseminate guidance on practice and life changing therapies in #HF to primary care &non HF specialists jacc.org/doi/10.1016/j.… ACP Society of General Internal Medicine (SGIM) Society of Hospital Medicine AHA Science American College of Cardiology HFSA

#JADEL A marvelous report in CV Case Journal from Muhamed Saric et al demonstrating the TUPLE maneuver ("tilt up, turn left") to facilitate LAAO device placement. Another must read in CASE: doi.org/10.1016/j.case… CV Case Journal

#OriginalResearch: Estimated coronary calcium burden obtained from non-cardiac chest CT improves pre-operative risk stratification @NSmilowitzMD #AHAJournals ahajournals.org/doi/10.1161/CI…

#OriginalResearch: Among newly diagnosed HFrEF patients, optimal GDMT utilization within 12 months was low, with significant disparity between women compared with men #AHAJournals ahajournals.org/doi/10.1161/CI…

Dena Hayes presenting on transbrachial biopsy for heart transplant rejection surveillance Takeaways: 1-safe 2-shorter procedure time 3-preferred by patients Amit Alam Alex Reyentovich, MD Bernard Kadosh Randal Goldberg

#GDMT use has increased over time 2/5 patients did not receive all recommended #HeartFailure medications at discharge Reduced likelihood of receipt in: 🔸 Women 🔸 Minority patients 🔸 Urban hospitals 📎 bit.ly/4aS7o7X #JACCHF Paul Heidenreich Utibe R. Essien, MD MPH Stanley Swat

1/ You are consulted overnight for a 66M found hypothermic and unresponsive in his home… Time for #12LeadThursday 🫀⤵️ 📺: youtu.be/LNX_otkniHo?si… 🖥️: coreimpodcast.com/2024/07/11/66m…

Absolutely loved running into my American College of Cardiology #WIC mentee in between TAVRs Dena Hayes, now cardiology fellow🫀❤️ on her Cath Lab rotation NYU Langone Health NYU Grossman School of Medicine! Looking forward to taking care of valve patients together. #WomenInCardiology #ACCFIT #StructuralFellow Women As One

Vutrisiran, a TTR silencer, is now FDA-approved for transthyretin cardiac amyloidosis- along w/two FDA-approved stabilizers, tafamidis and acoramidis. There is no trial evidence to guide single vs combo therapy. What will be your go-to regimen for ATTR-CM? Explain in comments!

Check out this fascinating case of cardiac sarcoidosis presenting as a biatrial mass at #ACC25 today & simultaneous publication in JACC Journals 🫀🔬 Randal Goldberg Danyaal Moin, MD Albert Jung jacc.org/doi/10.1016/j.…

Learning about PA catheter insertion from the best Valentina Jaramillo, MD Carlos L. Alviar MD, FACC #ACC25

Do all post PCI pts need the same obs period? Fantastic study by Dr. Joey Lerner NYU Langone Health Cardiology fellow showing that individualized milestone-based observation reduces LOS!