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real-world example of how CCTA can be complementary with pci cto difficult cases

👆This tweet was meant to express frustration that young doctors are often drawn into memorizing trial names and ‘conclusions’ rather than applying pathophysiology based reasoning at the bedside. It is not meant to discredit evidence based medicine. The goal is to highlight the

super weird that 'natural' weightloss may WORSEN heart function as compared to using tirzepatide to lose weight 'NTproBNP tends to increase at 1 yr f/u with weight loss from lifestyle change. Compared with decreases in NTproBNP with #GLP1RA assisted weight loss observed in'

#HR25 was a blast! While it's not quite the experience as being there, for those who missed it, the lectures can be found here: vimeo.com/ondemand/hr25

armyemdoc 6mg via central line is usually enough. Agree that 12mg via peripheral line is more likely to work. pubmed.ncbi.nlm.nih.gov/8354807/

How I perform informed consent in oncology! 1. Discuss diagnosis 2. Natural course of dz without treatment! 3. Rx options with pros/cons 4. Explore patients feelings on above 5. Make Rx rec, explain why (using #4) 6. Toxicities 7. Ask patient to explain in own words 8. Document

trying to locate the coronary artery perforation or dissection isnt always straightforward:

'Eventually, she had to give up the things she loved—and even basic movements became impossible: 🚫 Reaching into a cupboard 🚫 Putting on a jacket All this time, no one recognized she had frozen shoulder. Not the PT. Not the specialist. Not even in-person visits'

'GLP1 agonists (Ozempic, etc) have been shown to reduce the absorption and efficacy of birth control pills by about 30%' glp-1, glp-1ra, tirzepatide, semaglutide

NephroPOCUS Ashley Miller The rate of DBP decay is related to the arterial compliance x the SVR (high compliance and high SVR = slow decay of pressure). Faster HR leaves less time for the DBP to decay because of earlier SV input for the next cycle. So DBP needs HR context to make inference of SVR

Shoichi Kuramitsu, MD, PhD, FACC, FSCAI Sapporo Cardiovascular Clinic 札幌心臓血管クリニック Tsutomu Fujita MD ROTAMONSTER Takuro Sugie Wonderful! Congratulations. 👏🏼 This is one of my favorite clips that I have shown as several conferences. Real time Starry Sky formation! 👌🏼 Thank you Shoichi Kuramitsu, MD, PhD, FACC, FSCAI, Tsutomu Fujita MD and Team Sapporo Cardiovascular Clinic 札幌心臓血管クリニック.