New #ACC21 SimPub in JACC Journals from #TRANSLATEHF collab led by Ravi Patel Strong risk-treatment paradox in HF & kidney disease, such that pts with the highest mortality are treated with ↓ disease-modifying Rx Supported by AHA Science & AstraZeneca jacc.org/doi/10.1016/j.…

Power of Sotagliflozin: SCORED: 🔽CV death, HF🏥, acute HF episodes in DM + eGFR 25-60. SOLOIST-WHF: 🔽CV death, HF🏥, urgent visits in DM + HF🏥 (all EFs?!?)➡️also good in HFpEF? More about the SGLT2i magic 👉 bit.ly/3hiiPhj #ACCEL James Fang Ph.Gabriel Steg

MRAs, ARNI, SGLT2i, interatrial shunt, GSN ablation, and more - Rx options becoming available now / may come in future. But phenotyping and pt selection is most key in HFpEF! "New Approaches to HFpEF in the Era of Precision Medicine"👉bit.ly/3hngO3j Sanjiv J. Shah, MD Houston Methodist CV

Normal BNP ≠ no HF! Most studies of BNP have focused on diagnosing HFrEF, but ~1/3 of HFpEF pts may have normal BNP (<100) 👉 BNP-deficient phenogroup. BNP should not be used to rule out HFpEF! bit.ly/2Rg7Fin #HFpEF #MedEd #CardioTwitter Sanjiv J. Shah, MD

1/ Ready for a #Tweetorial on coronary artery calcium (CAC) score? Keep reading to: ☢️Understand the pathophysiology of coronary artery calcium ☢ Identify the utility of the CAC score ☢️Recognize the limitations of CAC scoring

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👀Ready for that board question on arrhythmias in Chagas disease?👀 Come listen @ 10 CST to TX ACC @MiguelVldrbno, @scfuentesr, Amin Al-Ahmad, MD, Kamala Tamirisa MD, Javier Sanchez MD and get that extra point in Oct! 👉bit.ly/3eTGBi9 #ACCFIT #AHAFIT #CardioTwitter Houston Methodist CV

ELI5: Previously, high dose ASA🩸> low dose. ADAPTABLE, ~40% crossover from high to low dose, conclusion = no difference in🩸... Now even some experts are saying "choose whatever dose you'd like"🤔Wrong message? Would love to hear opinions (and🙏explain)! #ACC21 #CardioTwitter

Check out our combined Houston Methodist CV & Cleveland Clinic amyloid cardiogenic shock experience - IABP viable bridging strategy for CA to OHT or VAD Varinder Kaur Randhawa Jerry Estep @bhtrachtenberg Houston Methodist Cardiovascular Fellowships #ACC21

Going on now! Come watch Akanksha Thakkar teach radiation safety to save yourselves from one of the many possible reasons for midcareer headaches! And while in the cath lab anyway, listen to Isaac Tea so you don't miss RV failure... #Cardiotwitter #MedEd #ACCFIT #AHAFIT Houston Methodist CV

Dr. Ross Reul giving a great overview of CABG ▶️In appropriately selected patients, CABG can provide complete revascularization and is safe ▶️Appropriate Rx before procedure👉improved outcomes Learn more👉 bit.ly/CNC2021-LS #cardiotwitter #MedEd #MedTwitter

The Great N. Kleiman on antiplatelet Rx: ▶️ASA✅2° prevention, ⏫CACS;❌1° prevention. ▶️Prematurely d/c DAPT highest risk factor for stent thrombosis! ▶️Shortened ASA duration may be helpful after PCI. Learn more👉 bit.ly/CNC2021-LS #cardiotwitter #MedEd #MedTwitter

Tips from Rayan Yousefzai on HFrEF Rx at #CNC2021: ▶️Do not need to trial ACEi/ARB first before using ARNI ▶️SGLT2i improves mortality and HF hospitalization and protects kidney fxn! ▶️Updated 2021 Rx guidelines 👇 Learn more👉 bit.ly/CNC2021-LS #cardiotwitter #MedEd

A great overview of device therapies in HF by my favorite big sis Mahwash Kassi! For each therapy, patient selection is key! Come learn more👉 bit.ly/CNC2021-LS #cardiotwitter #MedEd #MedTwitter

Dr. Guha's key tips for pulmonary HTN: ▶️PH = mPAP > 20 mmHg (new definition!) ▶️RHC is key in diagnosis! ▶️Initiate dual therapy for PAH up front! ▶️Always think about CTEPH (potentially curable!) Learn more👉 bit.ly/CNC2021-LS #cardiotwitter #MedEd #MedTwitter

Details into the life of an advanced HF patient 𝐉𝐈𝐋𝐋𝐈𝐀𝐍𝐍𝐄 𝐂𝐎𝐃𝐄, 𝐏𝐇.𝐃 🍁☘️🌻🧡! Sharing so hopefully more colleagues can get a glimpse of what our patients really go through. Thankful for our patients, their #hardtokill willpower💪, and allowing us to work with them. Anu Lala (Anuradha Lala-Trindade)

"Unable to get MRI due to AICD" MRI can be safely performed even in pts w/ legacy MRI-nonconditional CIEDs. There's even data on MRI in pts w/ abandoned leads👇 CIEDs ≠ MRI contraindication. Spread the word and narrow the gap! Carlos El-Tallawi, MD “HeartToProve” @HMH_IMres #MedEd #CardioTwitter

Check it out!!! We just published international donor heart selection guidelines. Special thanks to Dr Shelley Hall and Dr Hannah Copeland.

HFSA Make sure Ran Lee, MD, FACC and Andrew Higgins are involved if the intersection of critical care and AHFTC is on the table! They are leaders in these fields and they speak for many of us!

Often we get a consult for RHC on AHF pt and elevated HCO3 + diuretic resistance with believe pt must be intravasc dry, but we find MAP, RAP, PCWP well elevated. Not intravascular dry but proximal nephron NaHCO3 retention is the cause of the diuretic resistance Ryan J Tedford MD