![Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) 's Twitter Profile](https://pbs.twimg.com/profile_images/1042258489861562368/pN361cDG_200x200.jpg)
Munir S Janmohamed MD FACC, FHFSA
@munirjanmohamed
Medical Director Heart Failure/LVAD Program Mercy Medical Group Cardiology/Mercy General Hospital #JACCHF SoMe Editorial Team
ID: 263426589
http://instagram.com/drmunirjanmohamed 10-03-2011 01:07:00
368 Tweet
805 Followers
361 Following
![Novi Tham (@slumberbell) 's Twitter Profile Photo Novi Tham (@slumberbell) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1751833786340577280/b4HJEjnD_200x200.jpg)
LVAD explant after myocardial recovery❓ US data showed that: ➡️ 5-10% incidence for LVAD explant following myocardial recovery at selected centers🏥 ➡️ Over half sustain the🫀function and off transplant list Details: jacc.org/doi/10.1016/j.… #JACCHF JACC Journals
![Novi Tham (@slumberbell) on Twitter photo LVAD explant after myocardial recovery❓
US data showed that:
➡️ 5-10% incidence for LVAD explant following myocardial recovery at selected centers🏥
➡️ Over half sustain the🫀function and off transplant list
Details: jacc.org/doi/10.1016/j.…
#JACCHF <a href="/JACCJournals/">JACC Journals</a> LVAD explant after myocardial recovery❓
US data showed that:
➡️ 5-10% incidence for LVAD explant following myocardial recovery at selected centers🏥
➡️ Over half sustain the🫀function and off transplant list
Details: jacc.org/doi/10.1016/j.…
#JACCHF <a href="/JACCJournals/">JACC Journals</a>](https://pbs.twimg.com/media/GND-HuiXYAAVYEM.jpg)
![Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) 's Twitter Profile Photo Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1042258489861562368/pN361cDG_200x200.jpg)
![Muthu Vaduganathan (@mvaduganathan) 's Twitter Profile Photo Muthu Vaduganathan (@mvaduganathan) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1401252715653734405/_G9xk0EH_200x200.jpg)
First #LBCT of #HeartFailure2024 Timing of Cardio-Kidney Protection w #SGLT2i: Insights From 4 Large-Scale Placebo-Controlled RCTs HF is THE most modifiable and preventable event across #CKM Simultaneous publication led by Brendon Neuen in Circulation ahajournals.org/doi/10.1161/CI…
![Muthu Vaduganathan (@mvaduganathan) on Twitter photo First #LBCT of #HeartFailure2024
Timing of Cardio-Kidney Protection w #SGLT2i: Insights From 4 Large-Scale Placebo-Controlled RCTs
HF is THE most modifiable and preventable event across #CKM
Simultaneous publication led by <a href="/brendonneuen/">Brendon Neuen</a> in <a href="/CircAHA/">Circulation</a>
ahajournals.org/doi/10.1161/CI… First #LBCT of #HeartFailure2024
Timing of Cardio-Kidney Protection w #SGLT2i: Insights From 4 Large-Scale Placebo-Controlled RCTs
HF is THE most modifiable and preventable event across #CKM
Simultaneous publication led by <a href="/brendonneuen/">Brendon Neuen</a> in <a href="/CircAHA/">Circulation</a>
ahajournals.org/doi/10.1161/CI…](https://pbs.twimg.com/media/GNSSEU3WYAAR3cR.jpg)
![James Januzzi Jr MD (@jjheart_doc) 's Twitter Profile Photo James Januzzi Jr MD (@jjheart_doc) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1673364157696192513/_-ok15Gv_200x200.jpg)
![Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) 's Twitter Profile Photo Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1042258489861562368/pN361cDG_200x200.jpg)
Once again, nice work Neal Dixit, MD . I often start SGLT2- and MRA first as easy to get to targeted dose fast. Now its cost effective too!
![Anu Lala-Trindade (@dranulala) 's Twitter Profile Photo Anu Lala-Trindade (@dranulala) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1826120006335078400/HhhGDh7Z_200x200.jpg)
Me: Dear 🫀universe, I would like a state of the art paper to contextualize new aficamten data from #HFA2024 in HCM Journal of Cardiac Failure: I got you 😉💜 👇🏽👇🏽👇🏽HFSA ColumbiaCardiology
![Anu Lala-Trindade (@dranulala) on Twitter photo Me: Dear 🫀universe, I would like a state of the art paper to contextualize new aficamten data from #HFA2024 in HCM
<a href="/JCardFail/">Journal of Cardiac Failure</a>: I got you 😉💜
👇🏽👇🏽👇🏽<a href="/HFSA/">HFSA</a> <a href="/CU_Cardiology/">ColumbiaCardiology</a> Me: Dear 🫀universe, I would like a state of the art paper to contextualize new aficamten data from #HFA2024 in HCM
<a href="/JCardFail/">Journal of Cardiac Failure</a>: I got you 😉💜
👇🏽👇🏽👇🏽<a href="/HFSA/">HFSA</a> <a href="/CU_Cardiology/">ColumbiaCardiology</a>](https://pbs.twimg.com/media/GOCge0-WIAAhKkX.jpg)
![Nikhil Narang, MD (@nikhil15) 's Twitter Profile Photo Nikhil Narang, MD (@nikhil15) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1489093751251296256/dc46Y1om_200x200.jpg)
Can novel smartphone applications using accelerometer + gyroscope measurements be used to detect HF? Insight into the high accuracy algorithms using motion sensors from smartphones to detect HF 📱 REFLECS study now in JACC Journals #JACCHF 📎 jacc.org/doi/10.1016/j.…
![Nikhil Narang, MD (@nikhil15) on Twitter photo Can novel smartphone applications using accelerometer + gyroscope measurements be used to detect HF?
Insight into the high accuracy algorithms using motion sensors from smartphones to detect HF 📱
REFLECS study now in <a href="/JACCJournals/">JACC Journals</a> #JACCHF
📎 jacc.org/doi/10.1016/j.… Can novel smartphone applications using accelerometer + gyroscope measurements be used to detect HF?
Insight into the high accuracy algorithms using motion sensors from smartphones to detect HF 📱
REFLECS study now in <a href="/JACCJournals/">JACC Journals</a> #JACCHF
📎 jacc.org/doi/10.1016/j.…](https://pbs.twimg.com/media/GPY0MMZW4AAYuUm.jpg)
![Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) 's Twitter Profile Photo Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1042258489861562368/pN361cDG_200x200.jpg)
New in #jacchf ⭐️Role of Palliative Care Across HF Improves ⬆️ Sx Control ⬆️ QOL ⬆️ Caregiver satisfaction ⬇️ Caregiver Anxiety. 🔑 Limited Palliative care workforce ✅ Novel Palliative Care models are needed to met needs to improve care of HF pts JACC Journals #JACCHF
![Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) on Twitter photo New in #jacchf
⭐️Role of Palliative Care Across HF
Improves
⬆️ Sx Control
⬆️ QOL
⬆️ Caregiver satisfaction
⬇️ Caregiver Anxiety.
🔑 Limited Palliative care workforce
✅ Novel Palliative Care models are needed to met needs to improve care of HF pts <a href="/JACCJournals/">JACC Journals</a> #JACCHF New in #jacchf
⭐️Role of Palliative Care Across HF
Improves
⬆️ Sx Control
⬆️ QOL
⬆️ Caregiver satisfaction
⬇️ Caregiver Anxiety.
🔑 Limited Palliative care workforce
✅ Novel Palliative Care models are needed to met needs to improve care of HF pts <a href="/JACCJournals/">JACC Journals</a> #JACCHF](https://pbs.twimg.com/media/GPfF-5saIAk8GEV.jpg)
![Novi Tham (@slumberbell) 's Twitter Profile Photo Novi Tham (@slumberbell) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1751833786340577280/b4HJEjnD_200x200.jpg)
How to define #PreHF stage⁉️ Dr #AntoniBayesGenis and BiykemBozkurt proposed 3 categories to define this grey area: 1️⃣Structural Heart Abnormalities -🫀structural/functional issue w/o ⬆️ NPs - e.g: LVH, chambers enlargements, wall motion abnormalities 2️⃣Heart Stress -⬆️#Biomarkers
![Novi Tham (@slumberbell) on Twitter photo How to define #PreHF stage⁉️
Dr #AntoniBayesGenis and <a href="/BiykemB/">BiykemBozkurt</a> proposed 3 categories to define this grey
area:
1️⃣Structural Heart Abnormalities
-🫀structural/functional issue w/o ⬆️ NPs
- e.g: LVH, chambers enlargements, wall motion abnormalities
2️⃣Heart Stress
-⬆️#Biomarkers How to define #PreHF stage⁉️
Dr #AntoniBayesGenis and <a href="/BiykemB/">BiykemBozkurt</a> proposed 3 categories to define this grey
area:
1️⃣Structural Heart Abnormalities
-🫀structural/functional issue w/o ⬆️ NPs
- e.g: LVH, chambers enlargements, wall motion abnormalities
2️⃣Heart Stress
-⬆️#Biomarkers](https://pbs.twimg.com/media/GPsBzQ5boAAiQpx.jpg)
![Jenny Thibodeau, MD, MSCS (@jtthibs) 's Twitter Profile Photo Jenny Thibodeau, MD, MSCS (@jtthibs) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1536071327219650560/DqaJVInF_200x200.jpg)
#GDMTworks, but we still aren't using it. New in #JACCHF: in 40K pts w newly dx #HFrEF, slow uptake on GDMT initiation w disparity btwn rural & urban use. 16% excess mortality risk for rural pts. *We can do better* 👀:jacc.org/doi/10.1016/j.… JACC Journals Gregg Fonarow MD ambarish
![Jenny Thibodeau, MD, MSCS (@jtthibs) on Twitter photo #GDMTworks, but we still aren't using it. New in #JACCHF: in 40K pts w newly dx #HFrEF, slow uptake on GDMT initiation w disparity btwn rural & urban use. 16% excess mortality risk for rural pts. *We can do better*
👀:jacc.org/doi/10.1016/j.…
<a href="/JACCJournals/">JACC Journals</a> <a href="/gcfmd/">Gregg Fonarow MD</a> <a href="/ambarish4786/">ambarish</a> #GDMTworks, but we still aren't using it. New in #JACCHF: in 40K pts w newly dx #HFrEF, slow uptake on GDMT initiation w disparity btwn rural & urban use. 16% excess mortality risk for rural pts. *We can do better*
👀:jacc.org/doi/10.1016/j.…
<a href="/JACCJournals/">JACC Journals</a> <a href="/gcfmd/">Gregg Fonarow MD</a> <a href="/ambarish4786/">ambarish</a>](https://pbs.twimg.com/media/GPz_tpZW0AAa76r.jpg)
![Alnylam Pharmaceuticals (@alnylam) 's Twitter Profile Photo Alnylam Pharmaceuticals (@alnylam) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1810290167632027648/EzEqU65n_200x200.jpg)
![BiykemBozkurt (@biykemb) 's Twitter Profile Photo BiykemBozkurt (@biykemb) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1026122427779010561/aH-8WHqv_200x200.jpg)
CLOROTIC Trial: Adding HCTZ to IV furosemide seems to be an effective strategy for improving diuretic response in AHF across the spectrum of EF: similarly in HFrEF, HFmrEF and HFpEF. in #JACCHF jacc.org/doi/10.1016/j.… JACC Journals Marta Sánchez Joan Carles Trullàs, MD, PhD
![BiykemBozkurt (@biykemb) on Twitter photo CLOROTIC Trial: Adding HCTZ to IV furosemide seems to be an effective strategy for improving diuretic response in AHF across the spectrum of EF: similarly in HFrEF, HFmrEF and HFpEF. in #JACCHF jacc.org/doi/10.1016/j.… <a href="/JACCJournals/">JACC Journals</a> <a href="/msanchezmar/">Marta Sánchez</a> <a href="/jc_trullas/">Joan Carles Trullàs, MD, PhD</a> CLOROTIC Trial: Adding HCTZ to IV furosemide seems to be an effective strategy for improving diuretic response in AHF across the spectrum of EF: similarly in HFrEF, HFmrEF and HFpEF. in #JACCHF jacc.org/doi/10.1016/j.… <a href="/JACCJournals/">JACC Journals</a> <a href="/msanchezmar/">Marta Sánchez</a> <a href="/jc_trullas/">Joan Carles Trullàs, MD, PhD</a>](https://pbs.twimg.com/media/GRX-yxrWAAAbBI0.jpg)
![Jenny Thibodeau, MD, MSCS (@jtthibs) 's Twitter Profile Photo Jenny Thibodeau, MD, MSCS (@jtthibs) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1536071327219650560/DqaJVInF_200x200.jpg)
New review in #JACCHF by Kieran Docherty on the treatment and prevention of HF following AMI. * Review of current evidence and guideline recommendations * Discussion of ongoing research * Proposal to identify highest risk pts to guide tx 🔥Don't miss!! jacc.org/doi/10.1016/j.…
![Jenny Thibodeau, MD, MSCS (@jtthibs) on Twitter photo New review in #JACCHF by <a href="/Kieranfdocherty/">Kieran Docherty</a> on the treatment and prevention of HF following AMI.
* Review of current evidence and guideline recommendations
* Discussion of ongoing research
* Proposal to identify highest risk pts to guide tx
🔥Don't miss!!
jacc.org/doi/10.1016/j.… New review in #JACCHF by <a href="/Kieranfdocherty/">Kieran Docherty</a> on the treatment and prevention of HF following AMI.
* Review of current evidence and guideline recommendations
* Discussion of ongoing research
* Proposal to identify highest risk pts to guide tx
🔥Don't miss!!
jacc.org/doi/10.1016/j.…](https://pbs.twimg.com/media/GRlN1AMWcAAFxnR.jpg)
![Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) 's Twitter Profile Photo Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1042258489861562368/pN361cDG_200x200.jpg)
New 📄 in JACC Journals #JACCHF ❓Objective: Compare Health Care QOL (HFQOL) in HF vs Cancer 🫀 Methods: Analysis Medicare 2016-2000 🎯Conclusions: People with HF ⬇️ HFQOL than those with Cancer actively receiving tx. Read More 👇🏼 📎 jacc.org/doi/abs/10.101…
![Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) on Twitter photo New 📄 in <a href="/JACCJournals/">JACC Journals</a> #JACCHF
❓Objective: Compare Health Care QOL (HFQOL) in HF vs Cancer
🫀 Methods: Analysis Medicare 2016-2000
🎯Conclusions:
People with HF ⬇️ HFQOL than those with Cancer actively receiving tx.
Read More 👇🏼
📎 jacc.org/doi/abs/10.101… New 📄 in <a href="/JACCJournals/">JACC Journals</a> #JACCHF
❓Objective: Compare Health Care QOL (HFQOL) in HF vs Cancer
🫀 Methods: Analysis Medicare 2016-2000
🎯Conclusions:
People with HF ⬇️ HFQOL than those with Cancer actively receiving tx.
Read More 👇🏼
📎 jacc.org/doi/abs/10.101…](https://pbs.twimg.com/media/GR0Ht00acAAcR5B.jpg)
![Henry Han (@hancardiomd) 's Twitter Profile Photo Henry Han (@hancardiomd) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1706833409044008961/krQxKSPL_200x200.jpg)
![Gregg Fonarow MD (@gcfmd) 's Twitter Profile Photo Gregg Fonarow MD (@gcfmd) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/897985211605975040/FWhf7eg-_200x200.jpg)
In HFrEF, lack of therapeutic urgency is: 🌎 Common 💵 Costly ☠️ Deadly Published in Circulation, 5 core "take-home" principles for rapid & intensive #GDMT as a foundational approach doi.org/10.1161/CIRCUL… Steve Greene Javed Butler
![Gregg Fonarow MD (@gcfmd) on Twitter photo In HFrEF, lack of therapeutic urgency is:
🌎 Common
💵 Costly
☠️ Deadly
Published in <a href="/CircAHA/">Circulation</a>, 5 core "take-home" principles for rapid & intensive #GDMT as a foundational approach
doi.org/10.1161/CIRCUL…
<a href="/SJGreene_md/">Steve Greene</a> <a href="/JavedButler1/">Javed Butler</a> In HFrEF, lack of therapeutic urgency is:
🌎 Common
💵 Costly
☠️ Deadly
Published in <a href="/CircAHA/">Circulation</a>, 5 core "take-home" principles for rapid & intensive #GDMT as a foundational approach
doi.org/10.1161/CIRCUL…
<a href="/SJGreene_md/">Steve Greene</a> <a href="/JavedButler1/">Javed Butler</a>](https://pbs.twimg.com/media/GUQJIO7XAAApONf.jpg)
![Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) 's Twitter Profile Photo Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1042258489861562368/pN361cDG_200x200.jpg)
New in #JACCHF: 🔥 Obesity & Weight Loss Strategies for Patients with Heart Failure Nice review of this important target in the management of #HF JACC Journals JACC HF: jacc.org/doi/10.1016/j.…
![Munir S Janmohamed MD FACC, FHFSA (@munirjanmohamed) on Twitter photo New in #JACCHF: 🔥
Obesity & Weight Loss Strategies for Patients with Heart Failure
Nice review of this important target in the management of #HF <a href="/JACCJournals/">JACC Journals</a>
JACC HF: jacc.org/doi/10.1016/j.… New in #JACCHF: 🔥
Obesity & Weight Loss Strategies for Patients with Heart Failure
Nice review of this important target in the management of #HF <a href="/JACCJournals/">JACC Journals</a>
JACC HF: jacc.org/doi/10.1016/j.…](https://pbs.twimg.com/media/GWqZnYXaIAAHpa_.jpg)
![Anju Bhardwaj MD FACC (@docbhardwaj) 's Twitter Profile Photo Anju Bhardwaj MD FACC (@docbhardwaj) 's Twitter Profile Photo](https://pbs.twimg.com/profile_images/1507116906356039702/QCVlZAMw_200x200.jpg)
🔥🔥 ☠️ for phenotypes along preshock -> CS continuum 👉 jacc.org/doi/full/10.10… JACC Journals #JACCHF Critical Care Cardiology Trials Network 🎯 Hypoperfusion +/- hypotension -> ⬆️☠️ 🎯 normotensive CS -> distinct CS phenotype 🎯 Identify pre-& early shock to improve #CardiogenicShock outcomes
![Anju Bhardwaj MD FACC (@docbhardwaj) on Twitter photo 🔥🔥 ☠️ for phenotypes along preshock -> CS continuum
👉 jacc.org/doi/full/10.10…
<a href="/JACCJournals/">JACC Journals</a> #JACCHF <a href="/CCCTNetwork/">Critical Care Cardiology Trials Network</a>
🎯 Hypoperfusion +/- hypotension -> ⬆️☠️
🎯 normotensive CS -> distinct CS phenotype
🎯 Identify pre-& early shock to improve #CardiogenicShock outcomes 🔥🔥 ☠️ for phenotypes along preshock -> CS continuum
👉 jacc.org/doi/full/10.10…
<a href="/JACCJournals/">JACC Journals</a> #JACCHF <a href="/CCCTNetwork/">Critical Care Cardiology Trials Network</a>
🎯 Hypoperfusion +/- hypotension -> ⬆️☠️
🎯 normotensive CS -> distinct CS phenotype
🎯 Identify pre-& early shock to improve #CardiogenicShock outcomes](https://pbs.twimg.com/media/GWqrnTUXsAAdZkp.jpg)