Discover and read the best of Twitter Threads about #Coronary

Most recents (8)

The DISCHARGE trial in online on the NEJM and it confirms what we all experience every day using CCT in a proper manner. CCT is safer, reliable and allows better management of stable patients with suspected obstructive CAD as compared to invasive strategy.
The main observation that comes to my mind however is still the very low prevalence of patients with obstructive CAD (25%) in both arms (CT and ICA). This is well known from previous studies and it is related to the selection criteria adopted for referral, partly.
The fact that still we send for an invasive and costly examination (CAG/ICA) this huge number of patients is simply astonishing in 2022. Healthcare cannot be managed like this, especially in universal systems like Italy, Germany, UK, Canada,...
Read 13 tweets
1) Welcome to an #accredited #tweetorial on a unique emerging (in Ph3 now) option for specifically reversing the #antiplatelet effects of #ticagrelor: it's #bentracimab. Expert faculty is antithrombotic agent reversal guru @md_pollack of @UMMCnews, working to create #AHealthierMS
2) This program is intended for #healthcare professionals and is supported by an educational grant from PhaseBio Pharmaceuticals. Faculty disclosures are listed at cardiometabolic-ce.com/disclosures/, and prior programs are available for 🆓CE/#CME credit at cardiometabolic-ce.com.
3) It is an unfortunate fact of life that one cannot prescribe #anticoagulant or #antiplatelet (together, #antithrombotic) therapy without increasing a patient's #bleedingrisk. That is why it should be an individualized risk:benefit decision, ideally . . .
Read 51 tweets
Don’t miss a new accredited #tweetorial launching TOMORROW here on @cardiomet_CE. #Interventional #cardiologist, #researcher, & #SoMe education leader @DLBHATTMD will be talking all about #aspirin, its role in #cardiovascular wellness & prevention, and new approaches to . . .
1) Welcome to an #accredited #tweetorial on the foundational role of #aspirin in #cardiovascular care. There are new approaches to #aspirin formulation & dosing. This program is accredited for 0.50h CE/#CME. I am @DLBHATTMD. #FOAMed #cardiotwitter #medtwitter Image
Read 49 tweets
Attending virtual #SCCT2020 today?

Interested in #CAD, #CAC, #coronary plaque?

All you need to do is to tune into channel 1 in morning & channel 2 in afternoon to learn from experts & ask your Qs

Here are morning sessions on Channel 1 👇
tinyurl.com/yccr8t4k ImageImageImage
& here are #SCCT2020 early afternoon sessions on Channel 2 for #coronary enthusiasts 👇
tinyurl.com/yccr8t4k ImageImageImage
& finally #SCCT2020 late afternoon sessions on Channel 2 for #coronary enthusiasts 👇
tinyurl.com/yccr8t4k ImageImageImage
Read 3 tweets
Sub-study of WISE @JACCJournals by @ahmedalbadrimd @lesleejshaw:

In women with signs & symptoms of ischemia
✅ low CFR (microvascular dysfunction) ➡️ ⬆️ major CV events
✅ endothelial dysfunction ➡️ ⬆️ angina hospitalization
onlinejacc.org/content/73/6/6…
@emorywomenheart @venkmurthy Image
In this relatively large & very well-done study, 4 indices of coronary dz were invasively measured:

✅ CFR (adenosine): non-endo dependent CMD

✅ CBF (ACh): endo dependent CMD

✅ Nitro Δ CSA: non-endo dependent epicardial dz

✅ ACh Δ CSA: endo depedent epicardial dz Image
Findings:
1️⃣ low CFR associated with ⬆️ MACE

2️⃣ low CBF not associated with MACE

3️⃣ impaired ACh dilatation assocaited with ⬆️ angina hospitalization

4️⃣ impaired NTG dilatation not associated with MACE
@ahmedalbadrimd @lesleejshaw @gina_lundberg @CedarsSinai @Michel_CorbanMD ImageImageImageImage
Read 4 tweets
“Dilatation is indicated in patients with disabling angina which jeopardizes their quality of life ...” Andreas Grüntzig 1978
#ORBITA #FAME2 @EpicSec @DrPascalMeier @GreggWStone @SVRaoMD @manesh_patelMD @Drroxmehran @habib_samady @DrChuckSimonton Image
Did it really take us 40 years to show #Angioplasty works for what it was invented for?
@angioplastyorg @SCAI @europcr @EuroInterventio @gina_lundberg @jerd10 @emoryheart #Angina #ChestPain #PCI #Coronary
Andreas Gruentzig’s locker?
👇
Saw this today @emoryheart interventional cardiology suite. This sticker should be at least 34 years old
@angioplastyorg Image
Read 3 tweets

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