#TipsForNewDocs Avoid "indication creep” Wrong: all Black HFrEF pts need isordil/hydralazine. A-HeFT NEJM 2004: I/H improved survival in Black pts on (not instead of) GDMT. Right: max out ARNI/BB/MRA/SGLT2i first- if BP allows, then add I/H. #kittlesonrules

PVC localization diagram. Added my own touches. adapted from the nice figure by Enriquez et al. Illustrates the precordial transitions to positive complexes, lead I morphology (blue/red/green circles), and precordial transition to negative complexes. #EPeeps

SCAI Expert Consensus Statement on the Management of Patients With STEMI Referred for Primary PCI: MyJSCAI 🥸 Nice documents on STEMI and primary PCI: congratulations to authors and SCAI 😱 Here are few recommendations from the document 👇👇👇

TWEETORIAL ALERT All CardioNerds out there know to start a statin when a patient presents with a myocardial infarction (MI)🫀✨ But let’s talk about why we do this and how it makes a difference!

We didn’t get the full results of recover 4 but here’s some cool information by Navin Kapur about using distal limb perfusion index (DLPI) to understand if occluded leg is actually perfusing Using pressure wire from the antegrade sheath to understand limb perfusion compared to

#TCT2024 #cardiotwitter Cardiovascular Research Foundation HELP- PCI trial jedicath աǟզǟʀ.ǟɦʍɛɖ إبراهيم الحربي Ibrahim Alharbi Abdelkader Almanfi, MD, FACC, FSCAI Hooman Bakhshi Alessandro Beneduce Nyal Borges Aaysha Cader BCaseMD 𝔻𝕣 ℕ𝕚𝕤𝕙𝕚𝕥𝕙 ℂ𝕙𝕒𝕟𝕕𝕣𝕒 Bailey Ann Richardson David L. Fischman Prof. Hector M. Garcia-Garcia Julia Grapsa MD, PhD Nadira Hamid Stefan Harb Amanda Evandro Martins F. MD

Pretreatment of #STEMI patients with UFH at first medical contact vs. the #CathLab was associated with improved spontaneous reperfusion of the IRA without ⬆️ major bleeding risk, based on HELP-PCI results presented at #TCT2024. Read more: bit.ly/4fiqW8a

Another gem at #TCT2024 that many here had hypothesized: For Medina 1:1:1 DES for the main branch and DCB for the side branch resulted in lower TLR. If DCBs weren’t so costly in the USA, this approach could quickly become the standard. It’s far simpler, faster, and reduces

Deep dive on #EARLYTAVR from ##TCT2024 Lots already said & discussed It takes time to read the paper, read the supplementary appendix, analyse the results, think about them etc! Some thoughts...🧵

Admin growth has far exceeded physician growth.

Catheter Ablation or Antiarrhythmic Drugs for Ventricular Tachycardia: NEJM 🥸 One of my friends said that #AHA24 brought a lot of enthusiasm back: AHA Science 😱 Catheter ablation for VT - it works: VANISH2 👇👇👇

Honored and grateful to represent the state of Georgia at the National ACC Fellow Jeopardy competition in March!

Great weekend Georgia Chapter ACC talking about Georgia health policy, clinical cases, research, and seeing colleagues from across the state! Musa A. Sharkawi Pascha Schafer MD Vishal Arora Kayla Shahbazian DO Gem Mohan Nouraldeen Manasrah, MD Akshat Mehta Deya Alkhatib, MD, FACC, FASE🫀

🏥New to the CCU? Not sure how to manage temporary mechanical circulatory support? ⭐️Check out our new CardioNerds infographic on using TMCS in cardiogenic shock! Explore their mechanisms, management, and waveforms you need to know!

Angio finding ?

Percentage of available positions filled, by specialty, in yesterday’s fellowship match.

Excited for our 3rd year fellows all matching at their top choices for advanced fellowship! Kayla Shahbazian DO Gem Mohan Akshat Mehta Khalil Jalkh and Walker Barmore. #fellowshipmatch Deya Alkhatib, MD, FACC, FASE🫀 Vishal Arora Musa A. Sharkawi

Excited to welcome our new Cardiology Fellows! Congrats to everyone who matched this week!

Femoral Large Bore Sheath Management: How to Prevent Vascular Complications From Vessel Puncture to Sheath Removal: CircInterventions 🥸Nice review from Circ Interventions: congratulations to authors and journal 😱 Summary 👇👇👇

Fantastic work led by superstar BIDMC Smith Center research fellow Katerina Dangas on the uptake of PCI in ambulatory surgical centers in the US and associated outcomes. A featured presentation at SCAI. BIDMC Smith Center Rishi Wadhera, MD MPP Eric Secemsky MD MSc medpagetoday.com/meetingcoverag…