Discover and read the best of Twitter Threads about #MiltonPacker

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Physicians make decisions NOT by memorizing trials or guidelines, but by having a conceptual framework about drugs and diseases

#HeartFailure2023 @ESC_Journals @escardio @WilfriedMullens @HFA_President @ARakisheva @FH_Verbrugge @WilfriedMullens ImageImageImageImage
How Physician Thinking and Decision-Making Is Supposed to Work

Dr. #MiltonPacker proved it in these 4 slides

#HeartFailure2023 @HFA_President @JavedButler1 @MarcoMetra @gcfmd @mmamas1973 @pabeda1 @WilfriedMullens @ESC_Journals ImageImageImageImage
Read 4 tweets
In patients with #HFpEF, treatment with #empagliflozin improves clinical outcomes regardless of background #MRA therapy

jacc.org/doi/10.1016/j.…
@JACCJournals #JACC @unic_cardiovasc @JavedButler1 @FaiezZANNAD #MiltonPacker @robmentz @BiykemB @HFpEF @ShelleyZieroth
#MRAs were used in 37% of EMPEROR-Preserved study participants. MRA use was higher in those with a more congested clinical picture, with more HF🏥 within the past 12 months, worse HF symptoms, mildly reduced EF, higher NT-proBNP levels, and more use of loop diuretic agents
The effect of empagliflozin to reduce HF 🏥 was more pronounced in MRA nonusers than in MRA users, particularly in the subgroup of patients with LVEFs ≥50% @HFpEF @DrRyanPDaly @AndrewJSauer @AnastasiaSMihai @DrMarthaGulati @ErinMichos @ShelleyZieroth @mvaduganathan
Read 8 tweets

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